Prull, Tamara Ann
Prull, Tamara Ann is an individual health care provider with primary practice located at 191 N Main St , Wellsville NY 14895-1150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Prull, Tamara Ann can be contacted via phone (585) 247-6810.Contact Information
Primary practice address
191 N Main St
Wellsville NY 14895-1150
Phone: (585) 247-6810
Fax: (315) 589-9406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 214246-1 | New York |
Profile Details
| NPI number | 1083659106 |
|---|---|
| LBN Legal business name | Prull, Tamara Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jan 9th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083659106 | NPPES |
| New York | Other | P00203836 | RRM LEGACY |
| New York | Other | P00393355 | RRM LEGACY |
| New York | MEDICAID | 02390949 | RRM LEGACY |
| New York | Other | 000527179003 | RRM LEGACY |
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