Woodson, Beverly Tucker

Woodson, Beverly Tucker is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Otolaryngology, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Woodson, Beverly Tucker can be contacted via phone (414) 805-5580.

Contact Information

Primary practice address
9200 W Wisconsin Ave Department Of Otolaryngology Milwaukee WI 53226-3522
Phone: (414) 805-5580
Fax: (414) 805-8324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 29400 Wisconsin

Profile Details

NPI number 1366494858
LBN Legal business name Woodson, Beverly Tucker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 8th, 2023 - about last year

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 1366494858 NPPES
Other 002000139 HUMANA
MEDICAID 1366494858 HUMANA
Other 040006716 HUMANA
MEDICAID 31413100 HUMANA

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