Buckholz Smallbeck, Kelly
Buckholz Smallbeck, Kelly is an sole proprietor health care provider with primary practice located at 19428 I-45 North , Spring TX 77373. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Buckholz Smallbeck, Kelly can be contacted via phone (281) 891-7084.Contact Information
Primary practice address
19428 I-45 North
Spring TX 77373
Phone: (281) 891-7084
Fax: (281) 891-7001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT6095 | Texas |
Profile Details
| NPI number | 1366948903 |
|---|---|
| LBN Legal business name | Buckholz Smallbeck, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2018 |
| Last updated | Apr 3rd, 2018 - about 8 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 | 1366948903 | NPPES |
| Texas | Other | AT6095 | TEXAS DEPARTMENT OF LICENSING AND REGULATION |
| Texas | Other | 2000004828 | TEXAS DEPARTMENT OF LICENSING AND REGULATION |
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