Buchanan, Tara N
Buchanan, Tara N is an sole proprietor health care provider with primary practice located at 404 Steve Dr , Russell Springs KY 42642-4622. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buchanan, Tara N can be contacted via phone (270) 866-3161.Contact Information
Primary practice address
404 Steve Dr
Russell Springs KY 42642-4622
Phone: (270) 866-3161
Fax: (270) 866-3163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 254657 | Kentucky |
Profile Details
| NPI number | 1588297717 |
|---|---|
| LBN Legal business name | Buchanan, Tara N |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2020 |
| Last updated | May 12th, 2023 - about 3 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 | 1588297717 | NPPES |
| Other | 14624186 | CAQH | |
| MEDICAID | 7100650460 | CAQH |
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