Whitaker Bay, Tamara Marie
Whitaker Bay, Tamara Marie is an sole proprietor health care provider with primary practice located at 515 Howard Street , Kalamazoo MI 49008-1917. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Whitaker Bay, Tamara Marie can be contacted via phone (269) 385-1000.Contact Information
Primary practice address
515 Howard Street
Kalamazoo MI 49008-1917
Phone: (269) 385-1000
Fax: (269) 385-5120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | TW002034 | Michigan |
Profile Details
| NPI number | 1912976978 |
|---|---|
| LBN Legal business name | Whitaker Bay, Tamara Marie |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Sep 9th, 2008 - about 16 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 | 1912976978 | NPPES |
| Other | 7287715 | AETNA | |
| Other | 2730125 | AETNA | |
| MEDICAID | 4685152 | AETNA | |
| Other | 480C912300 | AETNA | |
| Other | 522456150 | AETNA |
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