Frederick, Tucker

Frederick, Tucker is an sole proprietor health care provider with primary practice located at 4989 N 3Rd St , Laramie WY 82072-9548. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Frederick, Tucker can be contacted via phone (307) 745-8997.

Contact Information

Primary practice address
4989 N 3Rd St Laramie WY 82072-9548
Phone: (307) 745-8997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1700543212
LBN Legal business name Frederick, Tucker
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2021
Last updated Nov 18th, 2021 - about 4 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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