Tucker, John J
Tucker, John J is an individual health care provider with primary practice located at 4672 N Sonoma Ranch Blvd Ste B , Las Cruces NM 88011-7271. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tucker, John J can be contacted via phone (575) 556-1871.Contact Information
Primary practice address
4672 N Sonoma Ranch Blvd Ste B
Las Cruces NM 88011-7271
Phone: (575) 556-1871
Fax: (575) 556-1872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | SL0564 | Nevada |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A-1633-11 | New Mexico |
Profile Details
| NPI number | 1972765592 |
|---|---|
| LBN Legal business name | Tucker, John J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Dec 11th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972765592 | NPPES |
| New Mexico | MEDICAID | 22909311 |
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