Lyman, William Buckley
Lyman, William Buckley is an individual health care provider with primary practice located at 2108 E 3Rd St Ste 200 , Chattanooga TN 37404-2624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Lyman, William Buckley can be contacted via phone (423) 267-0466.Contact Information
Primary practice address
2108 E 3Rd St Ste 200
Chattanooga TN 37404-2624
Phone: (423) 267-0466
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 210170 | North Carolina |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 65962 | Tennessee |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 65962 | Tennessee |
Profile Details
NPI number | 1104212711 |
---|---|
LBN Legal business name | Lyman, William Buckley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 9th, 2015 |
Last updated | Aug 15th, 2022 - about 2 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 | 1104212711 | NPPES |
Tennessee | Other | 65962 | TN MEDICAL LICENSE |
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