Fusco, Tamara L.
Fusco, Tamara L. is an individual health care provider with primary practice located at 940 W Mount Vernon St Suite 220, Nixa MO 65714-9609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fusco, Tamara L. can be contacted via phone (417) 724-5437.Contact Information
Primary practice address
940 W Mount Vernon St Suite 220
Nixa MO 65714-9609
Phone: (417) 724-5437
Fax: (417) 724-5433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2000158302 | Missouri |
Profile Details
| NPI number | 1821163528 |
|---|---|
| LBN Legal business name | Fusco, Tamara L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Dec 11th, 2025 - about last year |
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 | 1821163528 | NPPES |
| Missouri | MEDICAID | 205017908 |
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