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
Fax: (617) 277-1403
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790724995 NPPES
Massachusetts MEDICAID 3120431

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