Foltz, Tamara Dee

Foltz, Tamara Dee is an individual health care provider with primary practice located at 1250 W Whittaker St , Salem IL 62881-1917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Foltz, Tamara Dee can be contacted via phone (618) 548-3740.

Contact Information

Primary practice address
1250 W Whittaker St Salem IL 62881-1917
Phone: (618) 548-3740
Fax: (618) 548-3705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209003173 Illinois

Profile Details

NPI number 1255394797
LBN Legal business name Foltz, Tamara Dee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Dec 10th, 2020 - about 5 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 1255394797 NPPES
Illinois Other 500027819 RAILROAD MEDICARE NUMBER
Illinois Other CJ2166 RAILROAD MEDICARE NUMBER
Illinois Other 207988 RAILROAD MEDICARE NUMBER

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