Mason, Tamara Lonelle
Mason, Tamara Lonelle is an sole proprietor health care provider with primary practice located at 522 Beltrami Ave Nw Suite 108, Bemidji MN 56601-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mason, Tamara Lonelle can be contacted via phone (218) 444-0899.Contact Information
Primary practice address
522 Beltrami Ave Nw Suite 108
Bemidji MN 56601-3001
Phone: (218) 444-0899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13004 | Minnesota |
Profile Details
| NPI number | 1205813581 |
|---|---|
| LBN Legal business name | Mason, Tamara Lonelle |
| Credentials | MSW LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Aug 3rd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205813581 | NPPES |
| Minnesota | MEDICAID | 811435800 |
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