Tucker, Steven Boyd
Tucker, Steven Boyd is an individual health care provider with primary practice located at 1322 W Main St , Antlers OK 74523-2016. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Tucker, Steven Boyd can be contacted via phone (580) 298-5062.Contact Information
Primary practice address
1322 W Main St
Antlers OK 74523-2016
Phone: (580) 298-5062
Fax: (580) 298-9958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1720352495 |
|---|---|
| LBN Legal business name | Tucker, Steven Boyd |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2012 |
| Last updated | Feb 28th, 2012 - about 14 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 | 1720352495 | NPPES |
| Oklahoma | MEDICAID | 200111200A |
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