Buckingham, Tavis Scott

Buckingham, Tavis Scott is an sole proprietor health care provider with primary practice located at Uss New Orleans (Lpd 18) Fpo Ap 96673-1701 Commanding Officer, San Diego CA 92123. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Buckingham, Tavis Scott can be contacted via phone (619) 849-1480.

Contact Information

Primary practice address
Uss New Orleans (Lpd 18) Fpo Ap 96673-1701 Commanding Officer San Diego CA 92123
Phone: (619) 849-1480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X California

Profile Details

NPI number 1659587871
LBN Legal business name Buckingham, Tavis Scott
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 17 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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