Buckner, Marcy Beth

Buckner, Marcy Beth is an individual health care provider with primary practice located at 3915 Golden Valley Road Courage Center, Golden Valley MN 55422-4298. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buckner, Marcy Beth can be contacted via phone (763) 520-0463.

Contact Information

Primary practice address
3915 Golden Valley Road Courage Center Golden Valley MN 55422-4298
Phone: (763) 520-0463
Fax: (763) 520-0355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11250 Minnesota

Profile Details

NPI number 1568408672
LBN Legal business name Buckner, Marcy Beth
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1568408672 NPPES
Minnesota Other 63D31BU BCBS MINNESOTA
Minnesota Other 963371008127 BCBS MINNESOTA
Minnesota Other 6236582 BCBS MINNESOTA
Minnesota Other HP38889 BCBS MINNESOTA

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