Stangohr, Tammi K

Stangohr, Tammi K is an individual health care provider with primary practice located at 1500 W 22Nd St Ste 102, Sioux Falls SD 57105-1503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stangohr, Tammi K can be contacted via phone (605) 328-7700.

Contact Information

Primary practice address
1500 W 22Nd St Ste 102 Sioux Falls SD 57105-1503
Phone: (605) 328-7700
Fax: (605) 328-7775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0564 South Dakota

Profile Details

NPI number 1164428918
LBN Legal business name Stangohr, Tammi K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 20th, 2019 - about 7 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 1164428918 NPPES
South Dakota MEDICAID 6825410

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