Austin-Ketch, Tammy Leigh
Austin-Ketch, Tammy Leigh is an sole proprietor health care provider with primary practice located at 3003 9Th St , Niagara Falls NY 14305-1931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Austin-Ketch, Tammy Leigh can be contacted via phone (716) 284-8917.Contact Information
Primary practice address
3003 9Th St
Niagara Falls NY 14305-1931
Phone: (716) 284-8917
Fax: (716) 284-0428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F331418 | New York |
Profile Details
| NPI number | 1326024894 |
|---|---|
| LBN Legal business name | Austin-Ketch, Tammy Leigh |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Oct 22nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326024894 | NPPES |
| New York | Other | 000560260001 | BCBS |
| New York | Other | 000560260001 | BCBS |
| New York | Other | 00026506601 | BCBS |
| New York | Other | 9511835 | BCBS |
| New York | MEDICAID | 01710838 | BCBS |
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