Tucker, James C

Tucker, James C is an individual health care provider with primary practice located at 600 S Mckinley St Suite 102, Little Rock AR 72205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Tucker, James C can be contacted via phone (501) 666-2824.

Contact Information

Primary practice address
600 S Mckinley St Suite 102 Little Rock AR 72205
Fax: (501) 666-9653
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X C-7983 Arkansas

Profile Details

NPI number 1144208224
LBN Legal business name Tucker, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 6th, 2018 - about 6 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 1144208224 NPPES
Arkansas MEDICAID 130744001
Arkansas Other 5B365C207

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