Tucker, Scott L
Tucker, Scott L is an individual health care provider with primary practice located at 1345A Westgate Center Dr , Winston-Salem NC 27103-2934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Tucker, Scott L can be contacted via phone (336) 768-8483.Contact Information
Primary practice address
1345A Westgate Center Dr
Winston-Salem NC 27103-2934
Phone: (336) 768-8483
Fax: (336) 768-1195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 200001832740 | North Carolina |
Profile Details
| NPI number | 1063415362 |
|---|---|
| LBN Legal business name | Tucker, Scott L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 22nd, 2009 - about 16 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 | 1063415362 | NPPES |
| North Carolina | Other | 2086S0122X | TAXONOMY |
| North Carolina | Other | 2325790 | TAXONOMY |
| North Carolina | MEDICAID | 8983956 | TAXONOMY |
| North Carolina | Other | 83956 | TAXONOMY |
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