Tucker, Susan Rebecca

Tucker, Susan Rebecca is an individual health care provider with primary practice located at 65 Community Rd Suite C, Tallmadge OH 44278-2358. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Tucker, Susan Rebecca can be contacted via phone (330) 633-6601.

Contact Information

Primary practice address
65 Community Rd Suite C Tallmadge OH 44278-2358
Phone: (330) 633-6601
Fax: (330) 633-4476
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35125325 Ohio

Profile Details

NPI number 1982961751
LBN Legal business name Tucker, Susan Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated Nov 1st, 2016 - about 8 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 1982961751 NPPES
Ohio MEDICAID 0121930

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