Tucker, Jerry Dewayne

Tucker, Jerry Dewayne is an individual health care provider with primary practice located at Us Coast Guard Special Missions Training Center Bb-11 Courthouse Bay, Camp Lejeune NC 28542. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as his primary health care specialty. Tucker, Jerry Dewayne can be contacted via phone (910) 376-0773.

Contact Information

Primary practice address
Us Coast Guard Special Missions Training Center Bb-11 Courthouse Bay Camp Lejeune NC 28542
Phone: (910) 376-0773
Fax: (910) 450-7040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X

Profile Details

NPI number 1407998404
LBN Legal business name Tucker, Jerry Dewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 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.

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