Dotson, Tamara Ann Coulter

Dotson, Tamara Ann Coulter is an individual health care provider with primary practice located at 415 6Th St , Lewiston ID 83501-2434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dotson, Tamara Ann Coulter can be contacted via phone (208) 743-7612.

Contact Information

Primary practice address
415 6Th St Lewiston ID 83501-2434
Phone: (208) 743-7612
Fax: (208) 746-4802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7686 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.60417452 Washington

Profile Details

NPI number 1699102871
LBN Legal business name Dotson, Tamara Ann Coulter
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Dec 4th, 2023 - about last year

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 1699102871 NPPES
Wisconsin MEDICAID 1699102871

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