Tuckey, Brian Keith
Tuckey, Brian Keith is an sole proprietor health care provider with primary practice located at 75 Thomas Johnson Drive Suite L, Frederick MD 21702-5125. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tuckey, Brian Keith can be contacted via phone (301) 698-9956.Contact Information
Primary practice address
75 Thomas Johnson Drive Suite L
Frederick MD 21702-5125
Phone: (301) 698-9956
Fax: (301) 698-9957
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 16917 | Maryland |
Profile Details
NPI number | 1194729459 |
---|---|
LBN Legal business name | Tuckey, Brian Keith |
Credentials | PT, OCS, JSCCI |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2005 |
Last updated | Mar 25th, 2013 - 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 | 1194729459 | NPPES |
Maryland | Other | 473137 | MAMSI |
Maryland | Other | 52780008 | MAMSI |
Maryland | Other | 1180364 | MAMSI |
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