Buckner, Olivia
Buckner, Olivia is an individual health care provider with primary practice located at 60 S 600 E Ste 100 , Salt Lake City UT 84102-1028. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buckner, Olivia can be contacted via phone (801) 906-0525.Contact Information
Primary practice address
60 S 600 E Ste 100
Salt Lake City UT 84102-1028
Phone: (801) 906-0525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1710683933 |
|---|---|
| LBN Legal business name | Buckner, Olivia |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2023 |
| Last updated | Jan 31st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710683933 | NPPES |
| Utah | Other | 122670323502 | STATE OF UTAH DEPARTMENT OF COMMERCE |
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