Congdon, Tamara W

Congdon, Tamara W is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Congdon, Tamara W can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43888 Minnesota

Profile Details

NPI number 1144219056
LBN Legal business name Congdon, Tamara W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144219056 NPPES
Other 151693 UCARE
MEDICAID 64767800 UCARE
Other 43F35CO UCARE
Other 1027347 UCARE
Other 2114112 UCARE
Other HP32991 UCARE
Other 0402865 UCARE
Other 1285470 UCARE

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