Buckwold, Jonathan Y
Buckwold, Jonathan Y is an individual health care provider with primary practice located at 70 East St , Methuen MA 01844-4597. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Buckwold, Jonathan Y can be contacted via phone (978) 687-0151.Contact Information
Primary practice address
70 East St
Methuen MA 01844-4597
Phone: (978) 687-0151
Fax: (617) 277-1403
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 71982 | Massachusetts |
Profile Details
NPI number | 1790724995 |
---|---|
LBN Legal business name | Buckwold, Jonathan Y |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Aug 17th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790724995 | NPPES |
Massachusetts | MEDICAID | 3120431 |
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