Tucker, Nicole Renee

Tucker, Nicole Renee is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Tucker, Nicole Renee can be contacted via phone (217) 876-2600.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4163
Phone: (217) 876-2600
Fax: (217) 876-2615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160005008 Illinois

Profile Details

NPI number 1194089359
LBN Legal business name Tucker, Nicole Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Jul 2nd, 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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