Buckley, Robert Grant
Buckley, Robert Grant is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services, San Diego CA 92134-1098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Buckley, Robert Grant can be contacted via phone (619) 532-8276.Contact Information
Primary practice address
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services
San Diego CA 92134-1098
Phone: (619) 532-8276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G063633 | California |
Profile Details
| NPI number | 1194796417 |
|---|---|
| LBN Legal business name | Buckley, Robert Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | May 21st, 2008 - about 18 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 | 1194796417 | NPPES |
| California | MEDICAID | 00G636330 |
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