Buddington, Thomas L
Buddington, Thomas L is an sole proprietor health care provider with primary practice located at 5241 Somerville Dr , Rockledge FL 32955-6730. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Buddington, Thomas L can be contacted via phone (321) 639-0133.Contact Information
Primary practice address
5241 Somerville Dr
Rockledge FL 32955-6730
Phone: (321) 639-0133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1083875512 |
|---|---|
| LBN Legal business name | Buddington, Thomas L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Jun 18th, 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 | 1083875512 | NPPES |
| Florida | MEDICAID | 674700198 | |
| Florida | MEDICAID | 674700196 |
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