Tucker, Jonathan

Tucker, Jonathan is an sole proprietor health care provider with primary practice located at 1801 S Stewart St , Azle TX 76020-3068. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Tucker, Jonathan can be contacted via phone (817) 253-5820.

Contact Information

Primary practice address
1801 S Stewart St Azle TX 76020-3068
Phone: (817) 253-5820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT5626 Texas

Profile Details

NPI number 1417470337
LBN Legal business name Tucker, Jonathan
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2017
Last updated Jul 21st, 2022 - about 2 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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