Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 35.015264 | OH |
N | 2084N0402X | Child Neurologist | 35.015264 | OH |
NPI | 1295784908 |
---|---|
Provider Name | Dr. Howard J Tucker |
First Address | Cleveland, OH 44144-3272 |
Second Address | Cleveland, OH 44115-3221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 03/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8901906 | (05) | OH |
A69093 | (02) | OH |