Bucklew, Marlene A.
Bucklew, Marlene A. is an individual health care provider with primary practice located at 2117 Maryland Ave , Baltimore MD 21218-5614. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bucklew, Marlene A. can be contacted via phone (410) 837-4292.Contact Information
Primary practice address
2117 Maryland Ave
Baltimore MD 21218-5614
Phone: (410) 837-4292
Fax: (410) 837-0639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | AC0407 | Maryland |
Profile Details
| NPI number | 1639159080 |
|---|---|
| LBN Legal business name | Bucklew, Marlene A. |
| Credentials | CAC-AD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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