Tatay, Lori J

Tatay, Lori J is an individual health care provider with primary practice located at 2122 Health Dr Sw , Wyoming MI 49519-9698. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Tatay, Lori J can be contacted via phone (616) 252-5790.

Contact Information

Primary practice address
2122 Health Dr Sw Wyoming MI 49519-9698
Phone: (616) 252-5790
Fax: (616) 252-5793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X EL31055 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004900 Michigan

Profile Details

NPI number 1942376165
LBN Legal business name Tatay, Lori J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated May 29th, 2024 - about 4 months 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 1942376165 NPPES
Michigan Other 160C976180 BCBSM
Michigan MEDICAID 1942376165 BCBSM

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