Kucker, Joshua Shepard

Kucker, Joshua Shepard is an individual health care provider with primary practice located at 179 Bouquet Cir , Windsor CA 95492-9607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kucker, Joshua Shepard can be contacted via phone (904) 307-3440.

Contact Information

Primary practice address
179 Bouquet Cir Windsor CA 95492-9607
Phone: (904) 307-3440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X M1853 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A98059 California

Profile Details

NPI number 1336103324
LBN Legal business name Kucker, Joshua Shepard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 15th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336103324 NPPES
Texas MEDICAID 177578503

Popular Providers