Tuckson, Wayne

Tuckson, Wayne is an individual health care provider with primary practice located at 3920 Dutchmans Ln Ste 315 , Louisville KY 40207-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Tuckson, Wayne can be contacted via phone (502) 583-8005.

Contact Information

Primary practice address
3920 Dutchmans Ln Ste 315 Louisville KY 40207-4702
Phone: (502) 583-8005
Fax: (502) 583-8025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 30849 Kentucky

Profile Details

NPI number 1922039023
LBN Legal business name Tuckson, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Sep 13th, 2019 - about 6 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 1922039023 NPPES
Kentucky MEDICAID 64308497
Kentucky MEDICAID 100373940

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