Tucker, Elizabeth

Tucker, Elizabeth is an individual health care provider with primary practice located at 1011 Desperado Trl Suite 201, Sisters OR 97759-9580. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tucker, Elizabeth can be contacted via phone (541) 549-3574.

Contact Information

Primary practice address
1011 Desperado Trl Suite 201 Sisters OR 97759-9580
Fax: (541) 549-1092
Website:

Health care specialties

Profile Details

NPI number 1578910626
LBN Legal business name Tucker, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2016
Last updated Jul 29th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578910626 NPPES
Oregon MEDICAID 500708594

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