Tangalakis, Laurel Linda

Tangalakis, Laurel Linda is an individual health care provider with primary practice located at 1717 Shaffer St Ste 124 , Kalamazoo MI 49048-1629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Tangalakis, Laurel Linda can be contacted via phone (269) 226-5456.

Contact Information

Primary practice address
1717 Shaffer St Ste 124 Kalamazoo MI 49048-1629
Phone: (269) 226-5456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD61149321 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301507839 Michigan

Profile Details

NPI number 1104205921
LBN Legal business name Tangalakis, Laurel Linda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2015
Last updated Sep 9th, 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 1104205921 NPPES
Washington MEDICAID 1104205921

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