Buckley, Nancy P

Buckley, Nancy P is an sole proprietor health care provider with primary practice located at 6608 Castor Ave , Philadelphia PA 19149-2120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Buckley, Nancy P can be contacted via phone (215) 342-7710.

Contact Information

Primary practice address
6608 Castor Ave Philadelphia PA 19149-2120
Fax: (215) 918-5776
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD042302E Pennsylvania

Profile Details

NPI number 1215922075
LBN Legal business name Buckley, Nancy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Mar 2nd, 2020 - about 6 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 1215922075 NPPES
Pennsylvania MEDICAID 1298594

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