Tucker, Jason Lamar

Tucker, Jason Lamar is an individual health care provider with primary practice located at 3574 Us 1 S Ste 101104 , St Augustine FL 32086-6466. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Tucker, Jason Lamar can be contacted via phone (904) 217-7161.

Contact Information

Primary practice address
3574 Us 1 S Ste 101104 St Augustine FL 32086-6466
Phone: (904) 217-7161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1194212027
LBN Legal business name Tucker, Jason Lamar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2018
Last updated Apr 17th, 2018 - about 8 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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