Staub, Tammy

Staub, Tammy is an individual health care provider with primary practice located at 36475 5 Mile Rd , Livonia MI 48154-1971. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Staub, Tammy can be contacted via phone (734) 655-2022.

Contact Information

Primary practice address
36475 5 Mile Rd Livonia MI 48154-1971
Phone: (734) 655-2022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704163631 Michigan

Profile Details

NPI number 1548291198
LBN Legal business name Staub, Tammy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 26th, 2020 - about 5 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 1548291198 NPPES
Michigan MEDICAID 104200270

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