Buckingham, Deidre M

Buckingham, Deidre M is an sole proprietor health care provider with primary practice located at 1915 Winnebago St , Madison WI 53704-5305. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Buckingham, Deidre M can be contacted via phone (608) 301-5717.

Contact Information

Primary practice address
1915 Winnebago St Madison WI 53704-5305
Phone: (608) 301-5717
Fax: (608) 200-3270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1353-019 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 724-146 Wisconsin

Profile Details

NPI number 1164582771
LBN Legal business name Buckingham, Deidre M
Credentials PTA, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Aug 18th, 2021 - about 4 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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