John Joseph Buckley in Youngstown - Specialist

John Joseph Buckley - NPI 1114918133

John Joseph Buckley is a Specialist in Youngstown, Ohio. John Joseph Buckley practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Joseph Buckley is 1114918133. The last update date is 2008-05-22.

John Joseph Buckley's current location address is 33 Wildfern Dr, Youngstown, Ohio. You can contact this provider via phone number 3307592048. The mailing address for John Joseph Buckley is 33 Wildfern Dr, Youngstown, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name John Joseph Buckley
Address 33 Wildfern Dr, Youngstown, Ohio
Phone Number 3307592048
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1114918133
Provider Enumeration Date 2005-10-31
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 33 Wildfern Dr
City Youngstown
State Ohio (OH)
Post Code 445051661
Phone Number 3307592048
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 3504815113
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
631169 OH --

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FAQs about John Joseph Buckley

What is the unique provider identifier assigned to John Joseph Buckley?

The John Joseph Buckley has been issued the NPI (National Provider Identifier) 1114918133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where John Joseph Buckley is physically located?

The John Joseph Buckley is situated at the following address: 33 Wildfern Dr, Youngstown, OH 445051661.

What is John Joseph Buckley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Joseph Buckley's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114918133 to John Joseph Buckley?

The Centers for Medicare & Medicaid Services assigned the 1114918133 to John Joseph Buckley on 2005-10-31.

When was the information regarding John Joseph Buckley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Joseph Buckley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-22.

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