Snook-Tidd, Pamela Harting
Snook-Tidd, Pamela Harting is an sole proprietor health care provider with primary practice located at 2026 N Ewing St Ste 200 , Seymour IN 47274-3480. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Snook-Tidd, Pamela Harting can be contacted via phone (812) 524-3333.Contact Information
Primary practice address
2026 N Ewing St Ste 200
Seymour IN 47274-3480
Phone: (812) 524-3333
Fax: (812) 524-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01047138A | Indiana |
Profile Details
| NPI number | 1063495745 |
|---|---|
| LBN Legal business name | Snook-Tidd, Pamela Harting |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Mar 12th, 2024 - 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 | 1063495745 | NPPES |
| Indiana | Other | 000000092362 | ANTHEM |
| Indiana | MEDICAID | 200117390A | ANTHEM |
| Indiana | MEDICAID | 200117390 | ANTHEM |
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