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NPI Code Detail

MEDICARE: MR. WILLIAM BUCHANAN LSW

MEDICARE: MR. WILLIAM BUCHANAN LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS 1100639OH

General Provider Information

NPI Number : 1326589706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM BUCHANAN LSW
Provider Business Mailing Address
First Line : 107 S EUCLID AVE
Second Line :
City : DAYTON
State : OH
Zip : 45402-6939
Country : US
Telephone Number : 937-305-0747
Fax Number :
Provider Business Practice Location Address
First Line : 1520 GERMANTOWN ST
Second Line :
City : DAYTON
State : OH
Zip : 45417-3318
Country : US
Telephone Number : 937-305-0747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2017
Last Update Date : 03/17/2017

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Directions to “ MR. WILLIAM BUCHANAN LSW” Practice Location

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