Tucker, Karen
Tucker, Karen is an individual health care provider with primary practice located at 333 E Washington St Suite 2000, West Bend WI 53095-2585. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Tucker, Karen can be contacted via phone (262) 335-4545.Contact Information
Primary practice address
333 E Washington St Suite 2000
West Bend WI 53095-2585
Phone: (262) 335-4545
Fax: (262) 335-6827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1662-057 | Wisconsin |
Profile Details
| NPI number | 1396851861 |
|---|---|
| LBN Legal business name | Tucker, Karen |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 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 | 1396851861 | NPPES |
| Wisconsin | MEDICAID | 39091600 |
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