Buckenberger, Robert Kendall

Buckenberger, Robert Kendall is an sole proprietor health care provider with primary practice located at 1642 E Herndon Ave Suite 103, Fresno CA 93720-3377. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Buckenberger, Robert Kendall can be contacted via phone (559) 439-8642.

Contact Information

Primary practice address
1642 E Herndon Ave Suite 103 Fresno CA 93720-3377
Phone: (559) 439-8642
Fax: (559) 433-9834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3931 California

Profile Details

NPI number 1063594778
LBN Legal business name Buckenberger, Robert Kendall
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Feb 26th, 2008 - about 18 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 1063594778 NPPES
California MEDICAID 000E39310

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