Tucker, John

Tucker, John is an individual health care provider with primary practice located at Marshall Way , Placerville CA 95667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tucker, John can be contacted via phone (330) 493-4443.

Contact Information

Primary practice address
Marshall Way Placerville CA 95667
Phone: (330) 493-4443
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G32127 California

Profile Details

NPI number 1205976115
LBN Legal business name Tucker, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205976115 NPPES
California MEDICAID 00G321270

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