Thacker, Tamara Dee

Thacker, Tamara Dee is an sole proprietor health care provider with primary practice located at 1128 Emory St , Imperial Beach CA 91932-3324. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Thacker, Tamara Dee can be contacted via phone (619) 948-5154.

Contact Information

Primary practice address
1128 Emory St Imperial Beach CA 91932-3324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1528365095
LBN Legal business name Thacker, Tamara Dee
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2011
Last updated Feb 18th, 2011 - 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 1528365095 NPPES
Other 9068 IDC

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