Tuberville, Audrey W
Tuberville, Audrey W is an individual health care provider with primary practice located at 3601 S 6Th St Eye Clinic, Tucson AZ 85723. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Tuberville, Audrey W can be contacted via phone (520) 792-1450.Contact Information
Primary practice address
3601 S 6Th St Eye Clinic
Tucson AZ 85723
Phone: (520) 792-1450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35431 | Arizona |
Profile Details
| NPI number | 1003967142 |
|---|---|
| LBN Legal business name | Tuberville, Audrey W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Apr 13th, 2010 - about 16 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 | 1003967142 | NPPES |
| Tennessee | MEDICAID | 3187169 |
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