Tucker, Casey L
Tucker, Casey L is an sole proprietor health care provider with primary practice located at 1211 College Ave , Santa Rosa CA 95404-3907. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tucker, Casey L can be contacted via phone (707) 526-9355.Contact Information
Primary practice address
1211 College Ave
Santa Rosa CA 95404-3907
Phone: (707) 526-9355
Fax: (707) 526-9081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC 23602 | California |
Profile Details
| NPI number | 1083667463 |
|---|---|
| LBN Legal business name | Tucker, Casey L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 29th, 2012 - about 12 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 | 1083667463 | NPPES |
| California | Other | DC 23602 | LICENSE NUMBER |
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