Fagan, Tamra Ann

Fagan, Tamra Ann is an individual health care provider with primary practice located at 211 Cool Springs Blvd , Franklin TN 37067-7242. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fagan, Tamra Ann can be contacted via phone (800) 632-6074.

Contact Information

Primary practice address
211 Cool Springs Blvd Franklin TN 37067-7242
Fax: (866) 341-7509
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000001827 Tennessee

Profile Details

NPI number 1508967845
LBN Legal business name Fagan, Tamra Ann
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 9th, 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 1508967845 NPPES
Tennessee Other 4057799 BCBS
Tennessee MEDICAID 3982871 BCBS

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