Parks, Tammy Jo

Parks, Tammy Jo is an sole proprietor health care provider with primary practice located at 924 Riggs Ave , Watertown NY 13601-3842. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Parks, Tammy Jo can be contacted via phone (315) 955-5235.

Contact Information

Primary practice address
924 Riggs Ave Watertown NY 13601-3842
Phone: (315) 955-5235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 261262--1 New York

Profile Details

NPI number 1285832873
LBN Legal business name Parks, Tammy Jo
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2007
Last updated Mar 24th, 2020 - about 5 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 1285832873 NPPES
New York MEDICAID 02528009

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