Bucky, Louis Philip

Bucky, Louis Philip is an individual health care provider with primary practice located at 200 W Montgomery Ave , Ardmore PA 19003-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Bucky, Louis Philip can be contacted via phone (610) 649-2433.

Contact Information

Primary practice address
200 W Montgomery Ave Ardmore PA 19003-1416
Phone: (610) 649-2433
Fax: (215) 829-6327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD056328L Pennsylvania

Profile Details

NPI number 1609808757
LBN Legal business name Bucky, Louis Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 27th, 2019 - about 6 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 1609808757 NPPES
Pennsylvania MEDICAID 0015400260004

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