Bannister, Tammy L
Bannister, Tammy L is an individual health care provider with primary practice located at 659 Central Ave , Barboursville WV 25504-1313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bannister, Tammy L can be contacted via phone (304) 736-5247.Contact Information
Primary practice address
659 Central Ave
Barboursville WV 25504-1313
Phone: (304) 736-5247
Fax: (304) 736-5768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18587 | West Virginia |
Profile Details
| NPI number | 1538129010 |
|---|---|
| LBN Legal business name | Bannister, Tammy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Nov 23rd, 2021 - about 3 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 | 1538129010 | NPPES |
| Ohio | MEDICAID | 2025632 | |
| Ohio | MEDICAID | 64941651 | |
| Ohio | MEDICAID | 0054648000 |
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