Gustin, Tammy Jo

Gustin, Tammy Jo is an individual health care provider with primary practice located at 421 S Campus Ave , Oxford OH 45056-2487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gustin, Tammy Jo can be contacted via phone (513) 529-3000.

Contact Information

Primary practice address
421 S Campus Ave Oxford OH 45056-2487
Fax: (513) 529-1892
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-05271 Ohio

Profile Details

NPI number 1942278213
LBN Legal business name Gustin, Tammy Jo
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 11th, 2009 - 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 1942278213 NPPES
Ohio MEDICAID 2160245

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