Buckley, Sharisma
Buckley, Sharisma is an sole proprietor health care provider with primary practice located at 6907 Highway 165 , Columbia LA 71418. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Buckley, Sharisma can be contacted via phone (318) 649-6399.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Louisiana |
Profile Details
| NPI number | 1912415571 |
|---|---|
| LBN Legal business name | Buckley, Sharisma |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2018 |
| Last updated | May 14th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912415571 | NPPES |
| Louisiana | MEDICAID | 171M00000X |
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