Corey Tangen, Natalie Elizabeth

Corey Tangen, Natalie Elizabeth is an individual health care provider with primary practice located at 316 W 161St St , Westfield IN 46074-8566. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Corey Tangen, Natalie Elizabeth can be contacted via phone (317) 254-6480.

Contact Information

Primary practice address
316 W 161St St Westfield IN 46074-8566
Phone: (317) 254-6480
Fax: (317) 259-8609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003578A Indiana

Profile Details

NPI number 1699903138
LBN Legal business name Corey Tangen, Natalie Elizabeth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated May 7th, 2018 - about 6 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 1699903138 NPPES
Indiana Other AO1958 EYEMED
Indiana Other 117744 EYEMED
Indiana Other 000000681526 EYEMED
Indiana Other 18003578 EYEMED

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