William E. Buckley, PHD.
Individual provider Active NPI Athletic Trainer · University Park, PA
NPI 1831229327 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831229327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT000002A (PA)
- Practice address
- 146 Recreation Building
Penn State University
University Park, PA 16802 - Phone
- (814) 865-9730
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT000002A | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT000002A | PA | Yes |
Addresses
Primary practice location
146 Recreation Building
Penn State University
University Park, PA 16802
Mailing address
PO Box 786
256 Whitehill Street
Lemont, PA 16851-0786
Other providers in University Park, PA
- Adam Bowker
- Sara Bowman
- Jennifer Brooks
- Olivia E Brown
- Anne Brumbaugh
- Marissa Megan Burd
- Gina Burge
- Amanda Jordan Byrd
- Madison Byrne
- Sara Caldwell
All providers in University Park, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.