Tucker, Charles L
Tucker, Charles L is an individual health care provider with primary practice located at 195 Hospital Dr , Cherokee Village AR 72529-7314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tucker, Charles L can be contacted via phone (870) 257-6060.Contact Information
Primary practice address
195 Hospital Dr
Cherokee Village AR 72529-7314
Phone: (870) 257-6060
Fax: (870) 257-7667
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C3379 | Arkansas |
Profile Details
NPI number | 1639173396 |
---|---|
LBN Legal business name | Tucker, Charles L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2005 |
Last updated | Jul 27th, 2013 - 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 | 1639173396 | NPPES |
Arkansas | MEDICAID | 105959001 |
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