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
Phone: (225) 294-0532
Fax: (225) 294-0532
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427277888 | NPPES |
Louisiana | MEDICAID | 1309834 |
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