Hardy, John Tucker

Hardy, John Tucker is an sole proprietor health care provider with primary practice located at 1115 N Grand Ave , Pueblo CO 81003-2867. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Hardy, John Tucker can be contacted via phone (719) 583-4232.

Contact Information

Primary practice address
1115 N Grand Ave Pueblo CO 81003-2867
Phone: (719) 583-4232
Fax: (719) 562-4415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 30618 Colorado
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 30618 Colorado
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 30618 Colorado

Profile Details

NPI number 1619032182
LBN Legal business name Hardy, John Tucker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Jan 11th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619032182 NPPES
Colorado MEDICAID 01-306182

Popular Providers