Tucker, Betty Jean

Tucker, Betty Jean is an individual health care provider with primary practice located at 46 Utz St , Freeport NY 11520. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Tucker, Betty Jean can be contacted via phone (516) 208-3524.

Contact Information

Primary practice address
46 Utz St Freeport NY 11520
Phone: (516) 208-3524
Fax: (516) 208-3524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 290418 New York

Profile Details

NPI number 1144405499
LBN Legal business name Tucker, Betty Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Jan 7th, 2008 - about 16 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 1144405499 NPPES
New York MEDICAID 02263207

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