Buckley, Stanley

Buckley, Stanley is an individual health care provider with primary practice located at 1929 W 21St St N , Wichita KS 67203-2106. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Buckley, Stanley can be contacted via phone (316) 660-7700.

Contact Information

Primary practice address
1929 W 21St St N Wichita KS 67203-2106
Phone: (316) 660-7700
Fax: (316) 838-2115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0053 Kansas
Behavioral Health & Social Service Providers / Social Worker 104100000X 2796 Kansas

Profile Details

NPI number 1568404309
LBN Legal business name Buckley, Stanley
Credentials LMSW, RAODAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568404309 NPPES
Kansas Other 4137 PREFERRED HEALTH SYSTEMS
Kansas Other 389906 PREFERRED HEALTH SYSTEMS

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