Cope, Tamara
Cope, Tamara is an sole proprietor health care provider with primary practice located at 4942 S Wayne Ave , Fort Wayne IN 46807-3105. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Cope, Tamara can be contacted via phone (260) 515-9630.Contact Information
Primary practice address
4942 S Wayne Ave
Fort Wayne IN 46807-3105
Phone: (260) 515-9630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1285042051 |
|---|---|
| LBN Legal business name | Cope, Tamara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2014 |
| Last updated | Jul 24th, 2014 - about 11 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 | 1285042051 | NPPES |
| Indiana | MEDICAID | 172V00000X |
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