Tucker, Cathy

Tucker, Cathy is an sole proprietor health care provider with primary practice located at 1653 Beach Ave , Atlantic City NJ 08401-1607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Tucker, Cathy can be contacted via phone (609) 892-2995.

Contact Information

Primary practice address
1653 Beach Ave Atlantic City NJ 08401-1607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 181145 New York

Profile Details

NPI number 1548428865
LBN Legal business name Tucker, Cathy
Credentials LLPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2008
Last updated May 23rd, 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 1548428865 NPPES
New York MEDICAID 02759593

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