Tucker, Leslie E

Tucker, Leslie E is an individual health care provider with primary practice located at 901 Patients First Dr , Washington MO 63090-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tucker, Leslie E can be contacted via phone (636) 239-7344.

Contact Information

Primary practice address
901 Patients First Dr Washington MO 63090-4700
Fax: (636) 239-9436
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R5740 Missouri

Profile Details

NPI number 1699718643
LBN Legal business name Tucker, Leslie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 23rd, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699718643 NPPES
Other 100013863 RAILROAD MEDICARE
MEDICAID 200991511 RAILROAD MEDICARE

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