Wildgoose, Tamara M

Wildgoose, Tamara M is an individual health care provider with primary practice located at 1201 Broad Rock Blvd , Richmond VA 23249-3115. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Wildgoose, Tamara M can be contacted via phone (804) 675-5000.

Contact Information

Primary practice address
1201 Broad Rock Blvd Richmond VA 23249-3115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1154663151
LBN Legal business name Wildgoose, Tamara M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2013
Last updated May 26th, 2021 - about 4 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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