Slott, Tammy Gene

Slott, Tammy Gene is an individual health care provider with primary practice located at 500 Arcade Ave Ste 210 , Elkhart IN 46514-2485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Slott, Tammy Gene can be contacted via phone (574) 389-5656.

Contact Information

Primary practice address
500 Arcade Ave Ste 210 Elkhart IN 46514-2485
Fax: (574) 523-7891
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28174891A Indiana

Profile Details

NPI number 1114265204
LBN Legal business name Slott, Tammy Gene
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2013
Last updated Jan 29th, 2024 - about 2 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 1114265204 NPPES
Indiana MEDICAID 201182750

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