Tucker, Robert Macom
Tucker, Robert Macom is an individual health care provider with primary practice located at 85 Sangers Ln , Staunton VA 24401. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Tucker, Robert Macom can be contacted via phone (540) 213-7315.Contact Information
Primary practice address
85 Sangers Ln
Staunton VA 24401
Phone: (540) 213-7315
Fax: (540) 887-3273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717000162 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1887 | Virginia |
Profile Details
| NPI number | 1982712071 |
|---|---|
| LBN Legal business name | Tucker, Robert Macom |
| Credentials | LPC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Aug 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982712071 | NPPES |
| Virginia | Other | 1021369 | CIGNA |
| Virginia | Other | 118590000 | CIGNA |
| Virginia | Other | 173867 | CIGNA |
| Virginia | Other | 141896 | CIGNA |
| Virginia | Other | 283385 | CIGNA |
| Virginia | Other | O82124 | CIGNA |
| Virginia | Other | 056981 | CIGNA |
| Virginia | MEDICAID | 005402841 | CIGNA |
| Virginia | Other | 142073 | CIGNA |
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