Tucker, Sonny W.

Tucker, Sonny W. is an individual health care provider with primary practice located at 2100 Erwin Rd , Durham NC 27710-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Tucker, Sonny W. can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
2100 Erwin Rd Durham NC 27710-0001
Phone: (919) 684-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2008-00963 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X T0964 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A85121 California

Profile Details

NPI number 1144487562
LBN Legal business name Tucker, Sonny W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated May 18th, 2021 - about 4 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 1144487562 NPPES
North Carolina MEDICAID 5909467

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