Buckingham, Scott Mason

Buckingham, Scott Mason is an individual health care provider with primary practice located at 1504 Harcrest Dr , Midland MI 48640-4717. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Buckingham, Scott Mason can be contacted via phone (989) 636-7580.

Contact Information

Primary practice address
1504 Harcrest Dr Midland MI 48640-4717
Fax: (989) 636-7583
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 003193 Michigan

Profile Details

NPI number 1467457051
LBN Legal business name Buckingham, Scott Mason
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 8th, 2007 - about 15 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 1467457051 NPPES
Massachusetts Other 900E66505 BCBS OF MICHIGAN
Massachusetts Other 0992990001 BCBS OF MICHIGAN
Massachusetts Other 005131 BCBS OF MICHIGAN

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