Buckner, Robert Edward

Buckner, Robert Edward is an individual health care provider with primary practice located at 100 Medical Blvd , Canonsburg PA 15317-9762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Buckner, Robert Edward can be contacted via phone (724) 745-3077.

Contact Information

Primary practice address
100 Medical Blvd Canonsburg PA 15317-9762
Phone: (724) 745-3077
Fax: (724) 746-8579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD427712 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26116 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME133200 Florida

Profile Details

NPI number 1588646624
LBN Legal business name Buckner, Robert Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Apr 4th, 2024 - about 2 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 1588646624 NPPES
Ohio MEDICAID 2617332
Ohio MEDICAID 101460367000100

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