Buckner, Tameko

Buckner, Tameko is an individual health care provider with primary practice located at 24634 5 Mile Rd Suite 16, Detroit MI 48239-3631. 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. Buckner, Tameko can be contacted via phone (313) 387-9842.

Contact Information

Primary practice address
24634 5 Mile Rd Suite 16 Detroit MI 48239-3631
Phone: (313) 387-9842
Fax: (313) 387-9438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1689738809
LBN Legal business name Buckner, Tameko
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689738809 NPPES
Michigan MEDICAID 9885209

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