Tucker Boren, Alexandra

Tucker Boren, Alexandra is an individual health care provider with primary practice located at 514 S Brown St , Springfield TN 37172-2937. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Tucker Boren, Alexandra can be contacted via phone (615) 988-4552.

Contact Information

Primary practice address
514 S Brown St Springfield TN 37172-2937
Phone: (615) 988-4552
Fax: (615) 382-0501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 12957 Tennessee

Profile Details

NPI number 1417552829
LBN Legal business name Tucker Boren, Alexandra
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2020
Last updated Dec 11th, 2020 - 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 1417552829 NPPES
Tennessee Other 12957 STATE LICENSE

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