Tucker, Joseph Clay

Tucker, Joseph Clay is an individual health care provider with primary practice located at 335 New Towne Rd , Bowling Green KY 42103-7966. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tucker, Joseph Clay can be contacted via phone (270) 842-0383.

Contact Information

Primary practice address
335 New Towne Rd Bowling Green KY 42103-7966
Fax: (270) 842-0485
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0940DT Kentucky

Profile Details

NPI number 1679534457
LBN Legal business name Tucker, Joseph Clay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jan 7th, 2015 - about 11 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 1679534457 NPPES
Kentucky MEDICAID 77009405

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