Dr Raphael A Buckle
LBN: Allergy & Asthma Associates Llc
Dr Raphael A Buckle is an health care organization with primary practice located at 3104 Creekside Village Dr Nw Suite 201, Kennesaw GA 30144-2324. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty.
Allergy & Asthma Associates Llc can be contacted via phone (770) 529-0460, or through Buckle, Lena via phone (770) 529-0460.
Contact Information
Primary practice address
3104 Creekside Village Dr Nw Suite 201
Kennesaw GA 30144-2324
Phone: (770) 529-0460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 56408 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 56408 | Georgia |
Profile Details
| NPI number | 1184881229 |
|---|---|
| LBN Legal business name | Allergy & Asthma Associates Llc |
| DBA Doing business as | Dr Raphael A Buckle |
| Authorized official | Buckle, Lena |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2008 |
| Last updated | May 16th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184881229 | NPPES |
| Georgia | Other | GRP7462 | MEDICARE LEGACY NUMBER |
| Georgia | Other | 1700867074 | MEDICARE LEGACY NUMBER |
| Georgia | MEDICAID | 262717777A | MEDICARE LEGACY NUMBER |
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