Parker, Buckley

Parker, Buckley is an individual health care provider with primary practice located at 87 Murray Guard Dr Ste B , Jackson TN 38305-3775. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Parker, Buckley can be contacted via phone (731) 664-1375.

Contact Information

Primary practice address
87 Murray Guard Dr Ste B Jackson TN 38305-3775
Phone: (731) 664-1375
Fax: (731) 660-8319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2797 Tennessee

Profile Details

NPI number 1700266558
LBN Legal business name Parker, Buckley
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2015
Last updated Sep 30th, 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 1700266558 NPPES
Tennessee MEDICAID Q014229

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