Buckles, Tamara
Buckles, Tamara is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Buckles, Tamara can be contacted via phone (618) 549-5361.Contact Information
Primary practice address
2601 W Main St
Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036137494 | Illinois |
Profile Details
| NPI number | 1821145715 |
|---|---|
| LBN Legal business name | Buckles, Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Oct 20th, 2020 - about 5 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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