Johnson, Tucker D
Johnson, Tucker D is an sole proprietor health care provider with primary practice located at 2014 Exeter Rd , Germantown TN 38138-3945. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Tucker D can be contacted via phone (901) 624-4600.Contact Information
Primary practice address
2014 Exeter Rd
Germantown TN 38138-3945
Phone: (901) 624-4600
Fax: (901) 757-1485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P0000002427 | Tennessee |
Profile Details
| NPI number | 1083662373 |
|---|---|
| LBN Legal business name | Johnson, Tucker D |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Feb 12th, 2008 - about 18 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 | 1083662373 | NPPES |
| Other | P00329380 | MEDICARE RAILROAD |
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