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
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1285832873 | NPPES |
| New York | MEDICAID | 02528009 |
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