Bucknam, Marit Johanne
Bucknam, Marit Johanne is an individual health care provider with primary practice located at 18316 Middlebelt Rd , Livonia MI 48152-5007. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bucknam, Marit Johanne can be contacted via phone (248) 615-9730.Contact Information
Primary practice address
18316 Middlebelt Rd
Livonia MI 48152-5007
Phone: (248) 615-9730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6801046626 | Michigan |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1467502435 |
|---|---|
| LBN Legal business name | Bucknam, Marit Johanne |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jan 5th, 2016 - about 10 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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