Wager, Tamara W.
Wager, Tamara W. is an sole proprietor health care provider with primary practice located at 962 Luther Rd , East Greenbush NY 12061-4015. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Wager, Tamara W. can be contacted via phone (518) 207-2065.Contact Information
Primary practice address
962 Luther Rd
East Greenbush NY 12061-4015
Phone: (518) 207-2065
Fax: (518) 207-2069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Local Education Agency (LEA) | 251300000X |
Profile Details
| NPI number | 1538445291 |
|---|---|
| LBN Legal business name | Wager, Tamara W. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2011 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538445291 | NPPES |
| New York | MEDICAID | 01409145 |
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