Tucker, Michael Ned

Tucker, Michael Ned is an individual health care provider with primary practice located at 6040 N 43Rd Ave Ste 1 , Glendale AZ 85301-5481. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Tucker, Michael Ned can be contacted via phone (623) 931-2221.

Contact Information

Primary practice address
6040 N 43Rd Ave Ste 1 Glendale AZ 85301-5481
Phone: (623) 931-2221
Fax: (623) 934-2849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2290 Arizona

Profile Details

NPI number 1508818931
LBN Legal business name Tucker, Michael Ned
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 22nd, 2023 - about 2 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 1508818931 NPPES
Arizona MEDICAID 090146

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