Tuetken, Lance E

Tuetken, Lance E is an individual health care provider with primary practice located at 415 E Matthews Ave , Jonesboro AR 72401-3142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tuetken, Lance E can be contacted via phone (870) 972-8181.

Contact Information

Primary practice address
415 E Matthews Ave Jonesboro AR 72401-3142
Fax: (870) 935-8749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3869 Arkansas

Profile Details

NPI number 1992767792
LBN Legal business name Tuetken, Lance E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 13th, 2007 - about 17 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 1992767792 NPPES
Arkansas Other 03080011900 QUALCHOICE
Arkansas Other P00251964 QUALCHOICE

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