Tampa, Linda

Tampa, Linda is an individual health care provider with primary practice located at 12800 N Port Washington Rd , Mequon WI 53097-2415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tampa, Linda can be contacted via phone (262) 243-9600.

Contact Information

Primary practice address
12800 N Port Washington Rd Mequon WI 53097-2415
Fax: (262) 243-9661
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44422 Wisconsin

Profile Details

NPI number 1730105750
LBN Legal business name Tampa, Linda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 11th, 2012 - about 13 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 1730105750 NPPES
Wisconsin MEDICAID 34201100

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