Buckner, John
Buckner, John is an sole proprietor health care provider with primary practice located at 143 Ridgeland Dr , Maumelle AR 72113-6000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Buckner, John can be contacted via phone (501) 851-2137.Contact Information
Primary practice address
143 Ridgeland Dr
Maumelle AR 72113-6000
Phone: (501) 851-2137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R-2647 | Arkansas |
Profile Details
| NPI number | 1144564410 |
|---|---|
| LBN Legal business name | Buckner, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2012 |
| Last updated | Nov 26th, 2012 - about 13 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 | 1144564410 | NPPES |
| Arkansas | Other | B90019 | UPIN |
| Arkansas | MEDICAID | 110328001 | UPIN |
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