Buckner, Thomas

Buckner, Thomas is an sole proprietor health care provider with primary practice located at 1100 W 6Th Ave , Gary IN 46402-1711. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is his primary health care specialty. Buckner, Thomas can be contacted via phone (219) 885-4264.

Contact Information

Primary practice address
1100 W 6Th Ave Gary IN 46402-1711
Phone: (219) 885-4264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1184094013
LBN Legal business name Buckner, Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2015
Last updated Oct 5th, 2015 - about 10 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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