Tucker, Glenn Alan
Tucker, Glenn Alan is an sole proprietor health care provider with primary practice located at 28 Sturdy St , Attleboro MA 02703-3148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tucker, Glenn Alan can be contacted via phone (508) 236-8380.Contact Information
Primary practice address
28 Sturdy St
Attleboro MA 02703-3148
Phone: (508) 236-8380
Fax: (508) 222-8075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 204979 | Massachusetts |
Profile Details
| NPI number | 1831288992 |
|---|---|
| LBN Legal business name | Tucker, Glenn Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | May 7th, 2021 - about 5 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 | 1831288992 | NPPES |
| Massachusetts | Other | J22406 | MABCBS |
| Massachusetts | Other | AA78836 | MABCBS |
| Massachusetts | Other | 204979 | MABCBS |
| Massachusetts | MEDICAID | 3208745 | MABCBS |
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