Buckingham, David Marsh

Buckingham, David Marsh is an sole proprietor health care provider with primary practice located at 8202 Clearvista Pkwy Suite 6A, Indianapolis IN 46256-1400. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Buckingham, David Marsh can be contacted via phone (317) 288-9942.

Contact Information

Primary practice address
8202 Clearvista Pkwy Suite 6A Indianapolis IN 46256-1400
Fax: (317) 288-9945
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20040172A Indiana

Profile Details

NPI number 1811996945
LBN Legal business name Buckingham, David Marsh
Credentials PHD, HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Aug 9th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811996945 NPPES
Indiana MEDICAID 200015010

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