Buckley, Gerard Kevin

Buckley, Gerard Kevin is an sole proprietor health care provider with primary practice located at 2765 Rebecca Ln Ste. D, Orange City FL 32763-8326. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Buckley, Gerard Kevin can be contacted via phone (386) 775-1422.

Contact Information

Primary practice address
2765 Rebecca Ln Ste. D Orange City FL 32763-8326
Phone: (386) 775-1422
Fax: (386) 775-1415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8641 Florida

Profile Details

NPI number 1538283833
LBN Legal business name Buckley, Gerard Kevin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated May 15th, 2014 - about 12 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 1538283833 NPPES
Florida MEDICAID 000043400

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