Tucker, Ives Henry
Tucker, Ives Henry is an sole proprietor health care provider with primary practice located at 7105 21St Ave , Brooklyn NY 11204-5850. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Tucker, Ives Henry can be contacted via phone (718) 256-0022.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 037253-1 | New York |
Profile Details
| NPI number | 1184748972 |
|---|---|
| LBN Legal business name | Tucker, Ives Henry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184748972 | NPPES |
| New York | MEDICAID | 00771802 |
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