Provider Demographics
NPI:1255358917
Name:BUCKLEY, CHRISTOPHER S (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:S
Last Name:BUCKLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:272 HOSPITAL RD STE 6
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9031
Mailing Address - Country:US
Mailing Address - Phone:740-779-4275
Mailing Address - Fax:740-779-4257
Practice Address - Street 1:4439 STATE ROUTE 159
Practice Address - Street 2:STE 120
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8207
Practice Address - Country:US
Practice Address - Phone:740-779-7270
Practice Address - Fax:740-779-7279
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2020-11-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34.006923207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2083016Medicaid
OHH03328Medicare UPIN
OH2083016Medicaid
OH0881945Medicare PIN