Tuckerman, Myra Beth
Tuckerman, Myra Beth is an individual health care provider with primary practice located at 1790 30Th St Suite 308, Boulder CO 80301-1022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tuckerman, Myra Beth can be contacted via phone (303) 440-0205.Contact Information
Primary practice address
1790 30Th St Suite 308
Boulder CO 80301-1022
Phone: (303) 440-0205
Fax: (303) 440-0209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45139 | Colorado |
Profile Details
| NPI number | 1831184381 |
|---|---|
| LBN Legal business name | Tuckerman, Myra Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Aug 15th, 2008 - about 16 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 | 1831184381 | NPPES |
| Ohio | MEDICAID | 0191671 | |
| Ohio | Other | 080188923 |
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