Tucker, Marc S

Tucker, Marc S is an individual health care provider with primary practice located at 841 Hospital Road Suite 2300 Marc S Tucker Do Facos, Indiana PA 15701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tucker, Marc S can be contacted via phone (724) 463-1512.

Contact Information

Primary practice address
841 Hospital Road Suite 2300 Marc S Tucker Do Facos Indiana PA 15701
Phone: (724) 463-1512
Fax: (724) 463-1541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS005464L Pennsylvania

Profile Details

NPI number 1760455067
LBN Legal business name Tucker, Marc S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760455067 NPPES
Pennsylvania Other TU1655957 HIGHMARK
Pennsylvania MEDICAID 1011452480001 HIGHMARK

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