Merritt, Tamara Ellen

Merritt, Tamara Ellen is an individual health care provider with primary practice located at 817 Commercial St , Leavenworth WA 98826-1316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Merritt, Tamara Ellen can be contacted via phone (509) 548-5815.

Contact Information

Primary practice address
817 Commercial St Leavenworth WA 98826-1316
Phone: (509) 548-5815
Fax: (509) 548-2510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00002089 Washington
Allopathic & Osteopathic Physicians / General Practice 208D00000X OP00002089 Washington

Profile Details

NPI number 1821022492
LBN Legal business name Merritt, Tamara Ellen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 2nd, 2023 - about 3 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 1821022492 NPPES
Washington Other 316507 DEPARTMENT OF LABOR AND INDUSTRIES
Washington MEDICAID 8464240 DEPARTMENT OF LABOR AND INDUSTRIES
Washington Other 452251 DEPARTMENT OF LABOR AND INDUSTRIES

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