Gaishin, Tamara Nichole

Gaishin, Tamara Nichole is an individual health care provider with primary practice located at 4025 Health Park Ln , Saint Joseph MI 49085-3421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gaishin, Tamara Nichole can be contacted via phone (269) 429-7100.

Contact Information

Primary practice address
4025 Health Park Ln Saint Joseph MI 49085-3421
Phone: (269) 429-7100
Fax: (269) 429-1959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X L2304186 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006446 Michigan

Profile Details

NPI number 1508115965
LBN Legal business name Gaishin, Tamara Nichole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2012
Last updated Mar 21st, 2016 - about 10 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 1508115965 NPPES
Michigan Other 5601006446 STATE LICENSE
Michigan MEDICAID 1508115965 STATE LICENSE

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