DERON TUCKER
NPI 1043690860
Driver in Hobart, IN
Active since June 06, 2015
About Deron Tucker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERON TUCKER (NPI 1043690860) is an individual driver provider in Hobart, Indiana, licensed in Indiana (5360094917) and active in the NPI registry since June 2015.
NPPES Registry Identity
NPI1043690860
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameDERON TUCKER
Location Address7243 TANAGER STHobart, IN 46342-6948
Mailing Address7243 Tanager StHobart, IN 46342-6948 · (219) 256-2030
Phone(219) 256-2030
Sole ProprietorNo
Enumeration DateJune 6, 2015
✔ NPI 1043690860 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in IN · 5360094917
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
7243 TANAGER ST, Hobart, IN 46342
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043690860, enumerated as an "individual" on June 06, 2015.
The provider is located at 7243 TANAGER ST HOBART, IN 46342 and the phone number is (219) 256-2030.
Driver with taxonomy code 172A00000X.
