Buckingham, Kathleen

Buckingham, Kathleen is an sole proprietor health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3810. 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. Buckingham, Kathleen can be contacted via phone (217) 464-5970.

Contact Information

Primary practice address
1800 E Lake Shore Dr Decatur IL 62521-3810
Phone: (217) 464-5970
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.003271 Illinois

Profile Details

NPI number 1235570268
LBN Legal business name Buckingham, Kathleen
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2013
Last updated Jul 6th, 2013 - about 12 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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