Tucker, Tammy Jean Hale

Tucker, Tammy Jean Hale is an individual health care provider with primary practice located at 2905 S Walton Blvd Ste 17, Bentonville AR 72712-6730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tucker, Tammy Jean Hale can be contacted via phone (479) 657-6800.

Contact Information

Primary practice address
2905 S Walton Blvd Ste 17 Bentonville AR 72712-6730
Phone: (479) 657-6800
Fax: (479) 268-4272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3741 Arkansas

Profile Details

NPI number 1659365427
LBN Legal business name Tucker, Tammy Jean Hale
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659365427 NPPES
Arkansas MEDICAID 150124003

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