Chase, Tammy

Chase, Tammy is an individual health care provider with primary practice located at 12800 Mississippi Pkwy Ste B100 , Crown Point IN 46307-6901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Chase, Tammy can be contacted via phone (219) 662-5700.

Contact Information

Primary practice address
12800 Mississippi Pkwy Ste B100 Crown Point IN 46307-6901
Phone: (219) 662-5700
Fax: (219) 662-2569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005859A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71005859A Indiana

Profile Details

NPI number 1699146779
LBN Legal business name Chase, Tammy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated Apr 14th, 2023 - 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 1699146779 NPPES
Indiana MEDICAID 201329270

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