Tucker, John Patrick

Tucker, John Patrick is an sole proprietor health care provider with primary practice located at 406A Taylor St , Scottsboro AL 35768-2424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tucker, John Patrick can be contacted via phone (256) 574-1050.

Contact Information

Primary practice address
406A Taylor St Scottsboro AL 35768-2424
Fax: (256) 574-1045
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16639 Alabama

Profile Details

NPI number 1457347130
LBN Legal business name Tucker, John Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Oct 5th, 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 1457347130 NPPES
Alabama MEDICAID 051535387
Alabama MEDICAID 051511261
Alabama MEDICAID 051507391

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