Tate-Gobert, Tammy

Tate-Gobert, Tammy is an individual health care provider with primary practice located at 1701 Oak Park Blvd , Lake Charles LA 70601-8911. 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. Tate-Gobert, Tammy can be contacted via phone (337) 494-2121.

Contact Information

Primary practice address
1701 Oak Park Blvd Lake Charles LA 70601-8911
Phone: (337) 494-2121
Fax: (337) 494-2360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APO4589 Louisiana

Profile Details

NPI number 1508816968
LBN Legal business name Tate-Gobert, Tammy
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jun 17th, 2022 - about 2 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 1508816968 NPPES
Louisiana Other P00214394 RRMEDICARE
Louisiana MEDICAID 1594873 RRMEDICARE

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