Maschino, Tammy Renee

Maschino, Tammy Renee is an sole proprietor health care provider with primary practice located at 2800 N Kelly Ave, Ste 200 , Edmond OK 73003-3008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maschino, Tammy Renee can be contacted via phone (405) 726-8000.

Contact Information

Primary practice address
2800 N Kelly Ave, Ste 200 Edmond OK 73003-3008
Fax: (405) 726-8101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21370 Oklahoma

Profile Details

NPI number 1740270941
LBN Legal business name Maschino, Tammy Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Apr 28th, 2014 - about 11 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 1740270941 NPPES
Oklahoma MEDICAID 100125730B

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