Tucker, Brent Austin

Tucker, Brent Austin is an individual health care provider with primary practice located at 3414 Olandwood Ct , Olney MD 20832-1384. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Tucker, Brent Austin can be contacted via phone (301) 774-0500.

Contact Information

Primary practice address
3414 Olandwood Ct Olney MD 20832-1384
Phone: (301) 774-0500
Fax: (301) 774-7338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C06263 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C06263 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C06263 Maryland

Profile Details

NPI number 1396297248
LBN Legal business name Tucker, Brent Austin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2016
Last updated Oct 15th, 2019 - about 7 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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