Individual provider · Type 1 NPI
Deron Tucker
Driver · Hobart, IN
NPI number
1043690860
Active
Practice location
7243 Tanager St
Hobart, IN 46342-6948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 5360094917 (IN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1043690860
Deron Tucker's National Provider Identifier is 1043690860, issued on Jun 6, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Hobart, IN. The record was last updated on Jun 6, 2015.