Tucker, Sally I

Tucker, Sally I is an individual health care provider with primary practice located at 78 Medical Center Dr , Fishersville VA 22939-2332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Tucker, Sally I can be contacted via phone (540) 932-4465.

Contact Information

Primary practice address
78 Medical Center Dr Fishersville VA 22939-2332
Phone: (540) 932-4465
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101046891 Virginia

Profile Details

NPI number 1740232636
LBN Legal business name Tucker, Sally I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 7th, 2023 - about last year

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 1740232636 NPPES
Virginia MEDICAID 010373956
Virginia Other P00401573
Virginia MEDICAID 006084443
Virginia Other 279744

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