Tucker, Abigail Marie
Tucker, Abigail Marie is an individual health care provider with primary practice located at 9500 Mentor Ave Ste 220 , Mentor OH 44060-8714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tucker, Abigail Marie can be contacted via phone (440) 357-7100.Contact Information
Primary practice address
9500 Mentor Ave Ste 220
Mentor OH 44060-8714
Phone: (440) 357-7100
Fax: (440) 357-8132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35-095029 | Ohio |
Profile Details
| NPI number | 1043229503 |
|---|---|
| LBN Legal business name | Tucker, Abigail Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | May 5th, 2022 - about 2 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 | 1043229503 | NPPES |
| Ohio | MEDICAID | 3097036 |
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