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
Phone: (256) 574-1050
Fax: (256) 574-1045
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1457347130 | NPPES |
| Alabama | MEDICAID | 051535387 | |
| Alabama | MEDICAID | 051511261 | |
| Alabama | MEDICAID | 051507391 |
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