Tucker, William Everett

Tucker, William Everett is an individual health care provider with primary practice located at 9500 Kanis Road Ste 501, Little Rock AR 72205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tucker, William Everett can be contacted via phone (501) 227-9080.

Contact Information

Primary practice address
9500 Kanis Road Ste 501 Little Rock AR 72205
Fax: (501) 227-0410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C4994 Arkansas

Profile Details

NPI number 1598717373
LBN Legal business name Tucker, William Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 23rd, 2010 - about 14 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 1598717373 NPPES
Arkansas MEDICAID 104502001

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