Tucker, John R.
Tucker, John R. is an individual health care provider with primary practice located at 433 Plaza St , Bogalusa LA 70427-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tucker, John R. can be contacted via phone (985) 730-6705.Contact Information
Primary practice address
433 Plaza St
Bogalusa LA 70427-3729
Phone: (985) 730-6705
Fax: (985) 730-7183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10080R | Louisiana |
Profile Details
| NPI number | 1578583100 |
|---|---|
| LBN Legal business name | Tucker, John R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 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 | 1578583100 | NPPES |
| Louisiana | MEDICAID | 1985449 |
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