Tucker, Judith Ann
Tucker, Judith Ann is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tucker, Judith Ann can be contacted via phone (570) 888-5858.Contact Information
Primary practice address
1 Guthrie Sq
Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 882-3007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA001022L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002552-1 | New York |
Profile Details
| NPI number | 1073589693 |
|---|---|
| LBN Legal business name | Tucker, Judith Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Mar 28th, 2008 - about 18 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 | 1073589693 | NPPES |
| Pennsylvania | Other | GU039812 | PA MEDICARE GROUP |
| Pennsylvania | Other | AA0598 | PA MEDICARE GROUP |
| Pennsylvania | Other | CC9269 | PA MEDICARE GROUP |
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