Tucker, Gladstone A
Tucker, Gladstone A is an individual health care provider with primary practice located at 1606 Castleberry Dr , Marion IL 62959-1586. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Tucker, Gladstone A can be contacted via phone (618) 997-9519.Contact Information
Primary practice address
1606 Castleberry Dr
Marion IL 62959-1586
Phone: (618) 997-9519
Fax: (618) 993-0592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036111926 | Illinois |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036111926 | Illinois |
Profile Details
| NPI number | 1023087012 |
|---|---|
| LBN Legal business name | Tucker, Gladstone A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | May 25th, 2023 - about last year |
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 | 1023087012 | NPPES |
| Illinois | Other | 252364 | HARMONY |
| Illinois | MEDICAID | 036111926 | HARMONY |
| Illinois | Other | 07332006 | HARMONY |
| Illinois | Other | 229260 | HARMONY |
| Illinois | Other | P00239844 | HARMONY |
| Illinois | Other | 699628 | HARMONY |
| Illinois | Other | 9367182 | HARMONY |
Popular Providers
-
Grubbs, Andrew D
4015 Executive Park Dr Ste 406, Cincinnati OH 45241-4017 -
Eng, Catherine
1333 Bush St , San Francisco CA 94109-5611 -
Rotich, Mark Kiplagat
2401 W Main St , Marion IL 62959-1188 -
Bourne, Cecil M
1215 Santa Fe St , Corpus Christi TX 78404-2338 -
Depamphilis, Hy J
500 University Dr , Hershey PA 17033-2360 -
Aydelotte, Marie
2021 Winton Rd S , Rochester NY 14618-3957 -
Yablonowitz, Don Harris
8116 Good Luck Rd Ste 300, Lanham MD 20706-3502 -
Simak, Eileen P.
1627 Chew St , Allentown PA 18102