Tucker, Julianne Paige
Tucker, Julianne Paige is an individual health care provider with primary practice located at 325 6Th Ave , South Charleston WV 25303-1231. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tucker, Julianne Paige can be contacted via phone (304) 720-3383.Contact Information
Primary practice address
325 6Th Ave
South Charleston WV 25303-1231
Phone: (304) 720-3383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | BACB679085 | West Virginia |
Profile Details
| NPI number | 1295404614 |
|---|---|
| LBN Legal business name | Tucker, Julianne Paige |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2021 |
| Last updated | Sep 9th, 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 | 1295404614 | NPPES |
| West Virginia | MEDICAID | F918600 |
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