Buckley, Evan

Buckley, Evan is an individual health care provider with primary practice located at 703 Liana Dr , Santa Rosa CA 95407-7434. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Buckley, Evan can be contacted via phone (650) 554-0355.

Contact Information

Primary practice address
703 Liana Dr Santa Rosa CA 95407-7434
Phone: (650) 554-0355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1699349787
LBN Legal business name Buckley, Evan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2021
Last updated May 13th, 2021 - about 5 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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