Organization
WAYNE TUCKER DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE IRA TUCKER DO, PA (OWNER)
(302) 838-1100
Entity
Organization
Contact information
Practice address
100 BECKS WOODS DR, SUITE 202, BEAR, DE 19701-3835
(302) 838-1100
(302) 838-8962
Mailing address
101 BECKS WOODS DR, SUITE 100, BEAR, DE 19701
(302) 838-1100
(302) 838-8962
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
F1-0000484
DE
207Q00000X
Family Medicine Physician
Primary
C2004133
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001131503
—
DE
01
—
0100579
UNITED HEALTHCARE
DE
01
—
116893
COVENTRY
DE
01
—
1770601874
BCBS
DE
01
—
4331251
AETNA
DE
Enumeration date
03/27/2007
Last updated
04/16/2014
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