Tucker, Tammy Jean Hale
Tucker, Tammy Jean Hale is an individual health care provider with primary practice located at 2905 S Walton Blvd Ste 17, Bentonville AR 72712-6730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tucker, Tammy Jean Hale can be contacted via phone (479) 657-6800.Contact Information
Primary practice address
2905 S Walton Blvd Ste 17
Bentonville AR 72712-6730
Phone: (479) 657-6800
Fax: (479) 268-4272
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3741 | Arkansas |
Profile Details
NPI number | 1659365427 |
---|---|
LBN Legal business name | Tucker, Tammy Jean Hale |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 7th, 2005 |
Last updated | Nov 16th, 2012 - about 12 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 | 1659365427 | NPPES |
Arkansas | MEDICAID | 150124003 |
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