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
Phone: (619) 948-5154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528365095 | NPPES |
| Other | 9068 | IDC |
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