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
Fax: (844) 830-8115
Website:

Health care specialties

SpecialtyCodeLicense #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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