Tucker, Forrest Lee

Tucker, Forrest Lee is an individual health care provider with primary practice located at 101 Elm Ave Se Administrative Suite, Roanoke VA 24013-2222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Tucker, Forrest Lee can be contacted via phone (540) 985-8592.

Contact Information

Primary practice address
101 Elm Ave Se Administrative Suite Roanoke VA 24013-2222
Phone: (540) 985-8592
Fax: (540) 985-0475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101035168 Virginia

Profile Details

NPI number 1295734226
LBN Legal business name Tucker, Forrest Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 9th, 2007 - about 17 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 1295734226 NPPES
West Virginia MEDICAID 6600061000

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