Tucker, Mark A
Tucker, Mark A is an individual health care provider with primary practice located at 650 High St , Danville KY 40422-1235. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Tucker, Mark A can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
650 High St
Danville KY 40422-1235
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 3334 |
Profile Details
NPI number | 1316127962 |
---|---|
LBN Legal business name | Tucker, Mark A |
Credentials | Bachelor of Arts (BA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 13th, 2007 |
Last updated | Nov 13th, 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 | 1316127962 | NPPES |
Kentucky | MEDICAID | 30615058 |
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