Buckley, Teresa Renee

Buckley, Teresa Renee is an individual health care provider with primary practice located at 107 Cranes Roost Ct , Elizabethtown KY 42701-3650. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Buckley, Teresa Renee can be contacted via phone (270) 765-2605.

Contact Information

Primary practice address
107 Cranes Roost Ct Elizabethtown KY 42701-3650
Phone: (270) 765-2605
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1366584492
LBN Legal business name Buckley, Teresa Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1366584492 NPPES
Kentucky MEDICAID 30605018

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