Buckles, Mark Richard

Buckles, Mark Richard is an individual health care provider with primary practice located at 7211 Us 42 , Florence KY 41042-1901. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Buckles, Mark Richard can be contacted via phone (859) 817-0817.

Contact Information

Primary practice address
7211 Us 42 Florence KY 41042-1901
Fax: (859) 817-1329
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4937 Kentucky

Profile Details

NPI number 1295805497
LBN Legal business name Buckles, Mark Richard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Feb 17th, 2010 - about 16 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 1295805497 NPPES
Ohio MEDICAID 2389204

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