Tuckson, Wayne
Tuckson, Wayne is an individual health care provider with primary practice located at 3920 Dutchmans Ln Ste 315 , Louisville KY 40207-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Tuckson, Wayne can be contacted via phone (502) 583-8005.Contact Information
Primary practice address
3920 Dutchmans Ln Ste 315
Louisville KY 40207-4702
Phone: (502) 583-8005
Fax: (502) 583-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 30849 | Kentucky |
Profile Details
| NPI number | 1922039023 |
|---|---|
| LBN Legal business name | Tuckson, Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Sep 13th, 2019 - about 7 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 | 1922039023 | NPPES |
| Kentucky | MEDICAID | 64308497 | |
| Kentucky | MEDICAID | 100373940 |
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