Buchly, Mark Lee

Buchly, Mark Lee is an sole proprietor health care provider with primary practice located at 106 Irving St Nw Suite 124-South, Washington DC 20010-2927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Buchly, Mark Lee can be contacted via phone (202) 877-3785.

Contact Information

Primary practice address
106 Irving St Nw Suite 124-South Washington DC 20010-2927
Phone: (202) 877-3785
Fax: (202) 877-3740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD0000-13451 District of Columbia

Profile Details

NPI number 1942380001
LBN Legal business name Buchly, Mark Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Feb 27th, 2012 - about 14 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 1942380001 NPPES
Maryland MEDICAID 15012-1600
Maryland MEDICAID 7306989
Maryland MEDICAID 0261065-00

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