Tanner, Dorothy

Tanner, Dorothy is an individual health care provider with primary practice located at 411 W Tipton St , Seymour IN 47274-2363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tanner, Dorothy can be contacted via phone (812) 522-2349.

Contact Information

Primary practice address
411 W Tipton St Seymour IN 47274-2363
Phone: (812) 522-2349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A0499114 Indiana

Profile Details

NPI number 1366456584
LBN Legal business name Tanner, Dorothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 13th, 2010 - about 14 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 1366456584 NPPES
Indiana MEDICAID 200322350

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