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:
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Health care specialties

SpecialtyCodeLicense #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 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 1194729459 NPPES
Maryland Other 473137 MAMSI
Maryland Other 52780008 MAMSI
Maryland Other 1180364 MAMSI

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