Buckingham, Ellen

Buckingham, Ellen is an sole proprietor health care provider with primary practice located at 4005 Granite Creek Rd , Scotts Valley CA 95066-3742. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management. Nursing Service Providers / Registered Nurse is her primary health care specialty. Buckingham, Ellen can be contacted via phone (831) 440-1320.

Contact Information

Primary practice address
4005 Granite Creek Rd Scotts Valley CA 95066-3742
Phone: (831) 440-1320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN480995 California
Nursing Service Providers / Case Management 163WC0400X 480995 California

Profile Details

NPI number 1295888527
LBN Legal business name Buckingham, Ellen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 3rd, 2023 - about last year

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 1295888527 NPPES
California MEDICAID RVN002450

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