Bucknam, Tabitha Farley
Bucknam, Tabitha Farley is an individual health care provider with primary practice located at 1501 S Center Rd Suite B, Burton MI 48509-1731. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bucknam, Tabitha Farley can be contacted via phone (810) 742-0225.Contact Information
Primary practice address
1501 S Center Rd Suite B
Burton MI 48509-1731
Phone: (810) 742-0225
Fax: (810) 742-7990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X |
Profile Details
| NPI number | 1104938604 |
|---|---|
| LBN Legal business name | Bucknam, Tabitha Farley |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 1st, 2008 - about 16 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 | 1104938604 | NPPES |
| Michigan | MEDICAID | 4742240 |
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