Blackledge, Tucker S.

Blackledge, Tucker S. is an individual health care provider with primary practice located at 1501 Kings Hwy Pediatrics, Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Blackledge, Tucker S. can be contacted via phone (318) 626-2274.

Contact Information

Primary practice address
1501 Kings Hwy Pediatrics Shreveport LA 71103-4228
Phone: (318) 626-2274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-13312 Arkansas
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X E-13312 Arkansas

Profile Details

NPI number 1134651284
LBN Legal business name Blackledge, Tucker S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2017
Last updated Aug 14th, 2023 - about 3 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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