Tooker, Debra Lou

Tooker, Debra Lou is an individual health care provider with primary practice located at 808 S 52Nd St , Rogers AR 72758-8602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tooker, Debra Lou can be contacted via phone (479) 587-1700.

Contact Information

Primary practice address
808 S 52Nd St Rogers AR 72758-8602
Phone: (479) 587-1700
Fax: (479) 587-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-432 Arkansas

Profile Details

NPI number 1164728739
LBN Legal business name Tooker, Debra Lou
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2011
Last updated Mar 30th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164728739 NPPES
Arkansas MEDICAID 197618795
Arkansas Other 762814
Arkansas MEDICAID 200813880A

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