Dickerson, Tamara D

Dickerson, Tamara D is an individual health care provider with primary practice located at 8535 N Clearview Dr Ste 700 , Mccordsville IN 46055-6243. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dickerson, Tamara D can be contacted via phone (317) 415-6450.

Contact Information

Primary practice address
8535 N Clearview Dr Ste 700 Mccordsville IN 46055-6243
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01049288 Indiana

Profile Details

NPI number 1952345357
LBN Legal business name Dickerson, Tamara D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 17th, 2022 - about 2 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 1952345357 NPPES
Indiana MEDICAID 200192260

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