Tatum, Omar

Tatum, Omar is an sole proprietor health care provider with primary practice located at 1435 W Brown St Apt 3, Milwaukee WI 53205-1227. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Tatum, Omar can be contacted via phone (414) 418-8608.

Contact Information

Primary practice address
1435 W Brown St Apt 3 Milwaukee WI 53205-1227
Phone: (414) 418-8608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1198-19 Wisconsin

Profile Details

NPI number 1114177623
LBN Legal business name Tatum, Omar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2008
Last updated Sep 22nd, 2008 - about 17 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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