Buckingham, Dwayne Lamont
Buckingham, Dwayne Lamont is an sole proprietor health care provider with primary practice located at 9524 Baltimore Ave , Laurel MD 20723-1816. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Buckingham, Dwayne Lamont can be contacted via phone (210) 382-2672.Contact Information
Primary practice address
9524 Baltimore Ave
Laurel MD 20723-1816
Phone: (210) 382-2672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2006029483 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801076311 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 22698 | Maryland |
Profile Details
| NPI number | 1578555397 |
|---|---|
| LBN Legal business name | Buckingham, Dwayne Lamont |
| Credentials | M.S.W, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 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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