Cunningham, Tammy L
Cunningham, Tammy L is an individual health care provider with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Cunningham, Tammy L can be contacted via phone (304) 766-3600.Contact Information
Primary practice address
4605 Maccorkle Ave Sw
South Charleston WV 25309-1311
Phone: (304) 766-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 35349 | West Virginia |
Profile Details
| NPI number | 1104844109 |
|---|---|
| LBN Legal business name | Cunningham, Tammy L |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Oct 3rd, 2013 - 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 | 1104844109 | NPPES |
| West Virginia | MEDICAID | 0068838000 | |
| West Virginia | Other | 001720704 | |
| West Virginia | Other | 1071159 | |
| West Virginia | Other | 1071159 |
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