Woodworth, Tamra
Woodworth, Tamra is an individual health care provider with primary practice located at 13914 Southeastern Pkwy Ste 108 , Fishers IN 46037-7124. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Woodworth, Tamra can be contacted via phone (317) 415-9110.Contact Information
Primary practice address
13914 Southeastern Pkwy Ste 108
Fishers IN 46037-7124
Phone: (317) 415-9110
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 01059168 | Indiana |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01059168A | Indiana |
Profile Details
NPI number | 1760416432 |
---|---|
LBN Legal business name | Woodworth, Tamra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | May 18th, 2022 - about 2 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 | 1760416432 | NPPES |
Indiana | MEDICAID | 200451600 |
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