Daugherty, Tammy M.

Daugherty, Tammy M. is an individual health care provider with primary practice located at 819 Southwestern Run Unit 1, Poland OH 44514-3688. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Daugherty, Tammy M. can be contacted via phone (330) 629-9991.

Contact Information

Primary practice address
819 Southwestern Run Unit 1 Poland OH 44514-3688
Phone: (330) 629-9991
Fax: (330) 629-9992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NM-00180 Ohio

Profile Details

NPI number 1285626556
LBN Legal business name Daugherty, Tammy M.
Credentials MSN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Dec 29th, 2011 - about 14 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 1285626556 NPPES
Ohio MEDICAID 2016713

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