Buckley, Dustan Pierce
Buckley, Dustan Pierce is an sole proprietor health care provider with primary practice located at 9100 N May Ave , Oklahoma City OK 73120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Buckley, Dustan Pierce can be contacted via phone (405) 840-4456.Contact Information
Primary practice address
9100 N May Ave
Oklahoma City OK 73120
Phone: (405) 840-4456
Fax: (405) 840-4295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18504 | Oklahoma |
Profile Details
| NPI number | 1730171794 |
|---|---|
| LBN Legal business name | Buckley, Dustan Pierce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | May 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730171794 | NPPES |
| Oklahoma | MEDICAID | 100228630A | |
| Oklahoma | Other | 110224377 |
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