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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760416432 NPPES
Indiana MEDICAID 200451600

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