Thole, Robert Tucker

Thole, Robert Tucker is an individual health care provider with primary practice located at 975 Ryland St Ste 100 , Reno NV 89502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Thole, Robert Tucker can be contacted via phone (775) 982-5000.

Contact Information

Primary practice address
975 Ryland St Ste 100 Reno NV 89502
Phone: (775) 982-5000
Fax: (775) 982-5225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 9686 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9686 Nevada

Profile Details

NPI number 1053384107
LBN Legal business name Thole, Robert Tucker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 6th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053384107 NPPES
Other 11042017 CAQH
MEDICAID 002016818 CAQH
Other P00259419 CAQH
Other 080173706 CAQH

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