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Contact Information

PATRICIA R TATE, MD
911 N SHELBY ST
SALEM, IN47167-2304
 Phone: 812-883-5881
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for PATRICIA R TATE · (Female)

NPI Number 1518959998
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 02/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01025438A
  • IN Other 000000062193 ANTHEM
  • IN Other 000000062193 ANTHEM BENEFIT
  • IN Other 000000062193 ANTHEM SENIOR ADVANTAGE
  • IN Other 000000062193 INDIANA COMPREHENSIVE
  • IN Other 000000062193 INDIANA HEALTH
  • IN Other 000000062193 ONE NATION BENEFIT
  • IN Other 000000062193 UNICARE
  • IN Other 241950 UNICARE MEDICARE
  • KY Other 000000062193 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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