Tucker, Spencer Paul

Tucker, Spencer Paul is an individual health care provider with primary practice located at 12163 E Adams Rd , Hammond LA 70403-2103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Tucker, Spencer Paul can be contacted via phone (225) 294-0532.

Contact Information

Primary practice address
12163 E Adams Rd Hammond LA 70403-2103
Fax: (225) 294-0532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 202239 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.202239 Louisiana

Profile Details

NPI number 1427277888
LBN Legal business name Tucker, Spencer Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Dec 6th, 2019 - about 5 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 1427277888 NPPES
Louisiana MEDICAID 1309834

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