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
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508967845 | NPPES |
| Tennessee | Other | 4057799 | BCBS |
| Tennessee | MEDICAID | 3982871 | BCBS |
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