Jackman, Tamara

Jackman, Tamara is an individual health care provider with primary practice located at 153 Cesar Chavez St , Saint Paul MN 55107-2226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jackman, Tamara can be contacted via phone (651) 222-1816.

Contact Information

Primary practice address
153 Cesar Chavez St Saint Paul MN 55107-2226
Phone: (651) 222-1816
Fax: (651) 602-7517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 164100-2 Minnesota

Profile Details

NPI number 1053371872
LBN Legal business name Jackman, Tamara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 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 1053371872 NPPES
Minnesota Other HP48978 HEALTH PARTNERS
Minnesota Other 573T9JA HEALTH PARTNERS
Minnesota Other NA9021042565 HEALTH PARTNERS
Minnesota Other 07-04167 HEALTH PARTNERS
Minnesota Other 132582 HEALTH PARTNERS

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