Dirksen, Tammy Lynn

Dirksen, Tammy Lynn is an individual health care provider with primary practice located at 2039 N Fine Ave , Fresno CA 93727-1512. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as her primary health care specialty. Dirksen, Tammy Lynn can be contacted via phone (559) 251-5557.

Contact Information

Primary practice address
2039 N Fine Ave Fresno CA 93727-1512
Phone: (559) 251-5557
Fax: (559) 251-5559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1366621567
LBN Legal business name Dirksen, Tammy Lynn
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2007
Last updated Oct 24th, 2007 - about 17 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 1366621567 NPPES
California MEDICAID XA0165660

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