Tucker, Wayne I

Tucker, Wayne I is an sole proprietor health care provider with primary practice located at 101 Becks Woods Dr Suite 100, Bear DE 19701-3854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tucker, Wayne I can be contacted via phone (302) 838-1100.

Contact Information

Primary practice address
101 Becks Woods Dr Suite 100 Bear DE 19701-3854
Fax: (302) 838-8962
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C20004133 Delaware

Profile Details

NPI number 1356430821
LBN Legal business name Tucker, Wayne I
Credentials D.O, P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Apr 16th, 2014 - about 11 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 1356430821 NPPES
Delaware Other 510410516 TAX ID

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