Domansky, Tamara Lynn
Domansky, Tamara Lynn is an individual health care provider with primary practice located at 2422 North Grandview Blvd , Waukesha WI 53188. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Domansky, Tamara Lynn can be contacted via phone (262) 549-6600.Contact Information
Primary practice address
2422 North Grandview Blvd
Waukesha WI 53188
Phone: (262) 549-6600
Fax: (262) 549-6698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | Wisconsin |
Profile Details
| NPI number | 1427262237 |
|---|---|
| LBN Legal business name | Domansky, Tamara Lynn |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427262237 | NPPES |
| Wisconsin | MEDICAID | 42016200 |
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