Tucker, Jason David
Tucker, Jason David is an sole proprietor health care provider with primary practice located at 12312 Copper Way Suite 200, Charlotte NC 28277-3386. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Sports Medicine is his primary health care specialty. Tucker, Jason David can be contacted via phone (980) 859-2340.Contact Information
Primary practice address
12312 Copper Way Suite 200
Charlotte NC 28277-3386
Phone: (980) 859-2340
Fax: (844) 830-8115
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0101249850 | Virginia |
Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 01109 | North Carolina |
Profile Details
NPI number | 1689839813 |
---|---|
LBN Legal business name | Tucker, Jason David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 28th, 2008 |
Last updated | Nov 3rd, 2016 - about 8 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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