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:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1053384107 | NPPES |
| Other | 11042017 | CAQH | |
| MEDICAID | 002016818 | CAQH | |
| Other | P00259419 | CAQH | |
| Other | 080173706 | CAQH |
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