Dr. Jessica L Buckner
Foot Surgery
81 Medical Center Dr Suite 2100
Brunswick
, Maine 04011-2690
Dr. Jessica L Buckner
Foot Surgery
81 Medical Center Dr Suite 2100
Brunswick
, Maine 04011-2690
(207) 725-5749
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Jessica L Buckner
- 81 Medical Center Dr Suite 2100
- Brunswick, ME
- Zip : 04011-2690
- Fax : (207) 725-5749
- Phone : (207) 725-4008
Second Address
- Dr. Jessica L Buckner
- 81 Medical Center Dr Suite 2100
- Brunswick, ME
- Zip : 04011-2690
- Fax : (207) 725-5749
- Phone : (207) 725-4008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | POD 1056 | ME |
National Provider Identifier
| NPI | 1275518144 |
|---|---|
| Provider Name | Dr. Jessica L Buckner |
| First Address | Brunswick, ME 04011-2690 |
| Second Address | Brunswick, ME 04011-2690 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2005 |
| Last Update Date | 04/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 431916399 | (05) | ME |
| LX5408 | (02) | ME |
| V06155 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.