Tucker, William Ellis
Tucker, William Ellis is an individual health care provider with primary practice located at 5108 Sandy Ln , Fairfield OH 45014-2738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tucker, William Ellis can be contacted via phone (833) 510-4357.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 54491 | Tennessee |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R4489 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 60169114 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G-00063490 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME133220 | Florida |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 49303 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2016022007 | Missouri |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 00061 | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD054415L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD40001 | South Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35061655 | Ohio |
Profile Details
| NPI number | 1316986805 |
|---|---|
| LBN Legal business name | Tucker, William Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Sep 21st, 2023 - 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 | 1316986805 | NPPES |
| Other | 000000317866 | BCBS | |
| Other | 000000380633 | BCBS | |
| MEDICAID | 0826324 | BCBS | |
| Other | 000000377119 | BCBS |
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