Fetzer, Tammy Lynn
Fetzer, Tammy Lynn is an individual health care provider with primary practice located at 102 E Gore Blvd , Lawton OK 73501-3025. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fetzer, Tammy Lynn can be contacted via phone (580) 353-0334.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1706 | Oklahoma |
Profile Details
| NPI number | 1447445374 |
|---|---|
| LBN Legal business name | Fetzer, Tammy Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Sep 30th, 2015 - about 10 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 | 1447445374 | NPPES |
| Oklahoma | MEDICAID | 73-6029956 |
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