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Contact Information

GWENDOLYN R TUCKER, PCA
206 WAGGONER
TOLEDO, OH43612
 Phone: 419-964-7728
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for GWENDOLYN R TUCKER · (Female)

NPI Number 1457868135
Status Active
Credentials PCA
Entity Individual
Enumeration date 01/04/2018
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH Medicaid 0111545
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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