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Contact Information

LINDA BUCKINGHAM
1397 WEIMER RD
DIABETES MANAGEMENT PROGRAM
TAOS, NM87571-6253
 Phone: 575-737-3285
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for LINDA BUCKINGHAM · (Female)

NPI # 1073872057
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2012
Last updated 05/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NM License # R22682
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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