Worthen, Tucker
Worthen, Tucker is an individual health care provider with primary practice located at 1927 Wilmington Dr Unit 102 , Fort Collins CO 80528-6103. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Worthen, Tucker can be contacted via phone (970) 416-9009.Contact Information
Primary practice address
1927 Wilmington Dr Unit 102
Fort Collins CO 80528-6103
Phone: (970) 416-9009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD.0000771 | Colorado |
Profile Details
| NPI number | 1073879821 |
|---|---|
| LBN Legal business name | Worthen, Tucker |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2012 |
| Last updated | Dec 1st, 2020 - about 4 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 | 1073879821 | NPPES |
| Colorado | MEDICAID | 29770050 |
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