Kucia, Tammy M

Kucia, Tammy M is an individual health care provider with primary practice located at 2300 N Rockton Ave , Rockford IL 61103-3619. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Kucia, Tammy M can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
2300 N Rockton Ave Rockford IL 61103-3619
Phone: (815) 971-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085002416 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-002416 Illinois

Profile Details

NPI number 1164533097
LBN Legal business name Kucia, Tammy M
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 17th, 2015 - about 9 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 1164533097 NPPES
Illinois Other P00626529 RR MEDICARE

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