Tucker, Edward Sporl
Tucker, Edward Sporl is an sole proprietor health care provider with primary practice located at 67 N Main St , Essex CT 06426-1074. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Tucker, Edward Sporl can be contacted via phone (860) 767-1411.Contact Information
Primary practice address
67 N Main St
Essex CT 06426-1074
Phone: (860) 767-1411
Fax: (860) 767-1233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 013972 | Connecticut |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 13972 | Connecticut |
Profile Details
| NPI number | 1275648552 |
|---|---|
| LBN Legal business name | Tucker, Edward Sporl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 21st, 2016 - about 10 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 | 1275648552 | NPPES |
| Connecticut | Other | 058532 | CONNECTICARE |
| Connecticut | Other | 0V0648 | CONNECTICARE |
| Connecticut | Other | 010013972CT01 | CONNECTICARE |
| Connecticut | Other | P2492859 | CONNECTICARE |
| Connecticut | Other | 507435 | CONNECTICARE |
| Connecticut | Other | CIGNA | CONNECTICARE |
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