Tucker, Stephanie
Tucker, Stephanie is an individual health care provider with primary practice located at 4601 Corbett Dr , Fort Collins CO 80528-9579. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Tucker, Stephanie can be contacted via phone (970) 207-4857.Contact Information
Primary practice address
4601 Corbett Dr
Fort Collins CO 80528-9579
Phone: (970) 207-4857
Fax: (970) 207-4885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0064887 | Maryland |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 13209A | Wyoming |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | DR.0072096 | Colorado |
Profile Details
| NPI number | 1417137977 |
|---|---|
| LBN Legal business name | Tucker, Stephanie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2007 |
| Last updated | Jan 19th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417137977 | NPPES |
| New Mexico | MEDICAID | 18528830 | |
| New Mexico | MEDICAID | 81780052 |
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