Tucker, Stanley C

Tucker, Stanley C is an sole proprietor health care provider with primary practice located at 8401 N Run Medical Dr , Mechanicsville VA 23116-2309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tucker, Stanley C can be contacted via phone (804) 559-9902.

Contact Information

Primary practice address
8401 N Run Medical Dr Mechanicsville VA 23116-2309
Phone: (804) 559-9902
Fax: (804) 559-9904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101019973 Virginia

Profile Details

NPI number 1528027802
LBN Legal business name Tucker, Stanley C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Aug 9th, 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 1528027802 NPPES
Virginia MEDICAID 005812836

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