Charles, Tamara Legquan

Charles, Tamara Legquan is an sole proprietor health care provider with primary practice located at 124 Abigayle Row , Scott LA 70583-8909. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Charles, Tamara Legquan can be contacted via phone (337) 945-9459.

Contact Information

Primary practice address
124 Abigayle Row Scott LA 70583-8909
Phone: (337) 945-9459
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194357699
LBN Legal business name Charles, Tamara Legquan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2020
Last updated Jan 15th, 2021 - about 5 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 1194357699 NPPES
Louisiana MEDICAID 00000000000

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