Tamara, Antonio
Tamara, Antonio is an sole proprietor health care provider with primary practice located at 2500 Hospital Drive City Hospital, Martinsburg WV 25401-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Tamara, Antonio can be contacted via phone (304) 264-1212.Contact Information
Primary practice address
2500 Hospital Drive City Hospital
Martinsburg WV 25401-3402
Phone: (304) 264-1212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 11343 | West Virginia |
Profile Details
| NPI number | 1043213655 |
|---|---|
| LBN Legal business name | Tamara, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Jun 5th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043213655 | NPPES |
| Other | 110027353 | RAILROAD MEDICARE | |
| MEDICAID | 0101794000 | RAILROAD MEDICARE |
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