Crowe, Tamera D

Crowe, Tamera D is an individual health care provider with primary practice located at 4101 Technology Ave , New Albany IN 47150-8548. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Crowe, Tamera D can be contacted via phone (812) 941-4500.

Contact Information

Primary practice address
4101 Technology Ave New Albany IN 47150-8548
Fax: (812) 941-4506
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 30557 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01073185A Indiana

Profile Details

NPI number 1275520629
LBN Legal business name Crowe, Tamera D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jun 28th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275520629 NPPES
South Carolina MEDICAID FQC043
South Carolina MEDICAID FQC030

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