| Tammy Edinger Llc | |
|
3210 E Lake Lansing Rd East Lansing MI 48823-1507 | |
| (517) 937-5570 | |
| Not Available |
| Full Name | Tammy Edinger Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3210 E Lake Lansing Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Edinger Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Tammy Edinger Llc 3210 E Lake Lansing Rd East Lansing MI 48823-1507 Ph: (517) 937-5570 |
| NPI Number | 1932671120 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/28/2018 |
| Medicare PECOS PAC ID | 1254677289 |
|---|---|
| Medicare Enrollment ID | O20190114000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932671120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamara S Edinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073688784 PECOS PAC ID: 3173544012 Enrollment ID: I20051207000820 |
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