Buckner, Tameko
Buckner, Tameko is an individual health care provider with primary practice located at 24634 5 Mile Rd Suite 16, Detroit MI 48239-3631. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Buckner, Tameko can be contacted via phone (313) 387-9842.Contact Information
Primary practice address
24634 5 Mile Rd Suite 16
Detroit MI 48239-3631
Phone: (313) 387-9842
Fax: (313) 387-9438
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1689738809 |
---|---|
LBN Legal business name | Buckner, Tameko |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 21st, 2006 |
Last updated | Jul 8th, 2007 - 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 | 1689738809 | NPPES |
Michigan | MEDICAID | 9885209 |
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