Tucker, Henry St George

Tucker, Henry St George is an individual health care provider with primary practice located at 6605 W Broad St Suite A, Richmond VA 23230-1714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Tucker, Henry St George can be contacted via phone (804) 287-3000.

Contact Information

Primary practice address
6605 W Broad St Suite A Richmond VA 23230-1714
Fax: (804) 285-2981
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101019972 Virginia

Profile Details

NPI number 1538122486
LBN Legal business name Tucker, Henry St George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Apr 18th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538122486 NPPES
Virginia Other 830000322 RR MEDICARE
Virginia Other 237398 RR MEDICARE
Virginia Other C01120 RR MEDICARE
Virginia MEDICAID 006051227 RR MEDICARE

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