Buckner, Patricia Diane
Buckner, Patricia Diane is an individual health care provider with primary practice located at 6110 Shallowford Rd , Chattonooga TN 37421. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buckner, Patricia Diane can be contacted via phone (800) 632-6074.Contact Information
Primary practice address
6110 Shallowford Rd
Chattonooga TN 37421
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P0000001865 | Tennessee |
Profile Details
| NPI number | 1215034764 |
|---|---|
| LBN Legal business name | Buckner, Patricia Diane |
| Credentials | EDD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Feb 9th, 2008 - about 18 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 | 1215034764 | NPPES |
| Tennessee | MEDICAID | 3686238 |
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