Buckhanan, Earl
Buckhanan, Earl is an individual health care provider with primary practice located at 460 Briarwood Dr Ste 510 , Jackson MS 39206-3057. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Buckhanan, Earl can be contacted via phone (601) 956-4816.Contact Information
Primary practice address
460 Briarwood Dr Ste 510
Jackson MS 39206-3057
Phone: (601) 956-4816
Fax: (601) 956-4817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1548777428 |
|---|---|
| LBN Legal business name | Buckhanan, Earl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2018 |
| Last updated | Jan 2nd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548777428 | NPPES |
| Mississippi | MEDICAID | 01670076 |
Popular Providers
-
Williams, Tawny Renee
409 Briarwood Dr Ste 302 , Jackson MS 39206-3033 -
Gomez Gutierrez, Horacio
445 Union St Ne , Salem OR 97301 -
Morgan, Eugene
5773 Old Canton Rd , Jackson MS 39211-3202 -
Grater, Amanda Lynn
2580 Constitution Blvd , Beaver Falls PA 15010-1294 -
Aguwa, Joy E
13601 Preston Rd , Dallas TX 75240-4911 -
Langenfeld, Michael Stephen
711 S. Vine St , Glenwood IA 51534-1927 -
Lima, Geny
5651A Nw 29Th St , Margate FL 33063-1531 -
Velez-Torres, Carlos
5 Calle Santiago Iglesias , Juana Diaz PR 00795-2304