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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982961751 | NPPES |
| Ohio | MEDICAID | 0121930 |
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