Tucker, Karl
Tucker, Karl is an sole proprietor health care provider with primary practice located at 250 N Orem Blvd , Orem UT 84057-6601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Tucker, Karl can be contacted via phone (801) 609-2448.Contact Information
Primary practice address
250 N Orem Blvd
Orem UT 84057-6601
Phone: (801) 609-2448
Fax: (801) 609-2447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7327288-4405 | Utah |
Profile Details
| NPI number | 1932693587 |
|---|---|
| LBN Legal business name | Tucker, Karl |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Mar 23rd, 2023 - about last year |
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 | 1932693587 | NPPES |
| Utah | MEDICAID | 3007365 |
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