Tucker, Charles Lee

Tucker, Charles Lee is an sole proprietor health care provider with primary practice located at 12925 Ne 59Th St , Spencer OK 73084-8605. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Tucker, Charles Lee can be contacted via phone (405) 464-2922.

Contact Information

Primary practice address
12925 Ne 59Th St Spencer OK 73084-8605
Phone: (405) 464-2922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1225 Oklahoma

Profile Details

NPI number 1497039135
LBN Legal business name Tucker, Charles Lee
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2011
Last updated Sep 29th, 2011 - about 13 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 1497039135 NPPES
Other 1225 NPI
Other 1225 NPI

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