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Contact Information

TAMI L WACKER, MA
1303 N CANAL ST APT 28
CARLSBAD, NM88220-4668
 Phone: 575-302-1666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for TAMI L WACKER · (Female)

NPI # 1275389728
Status Active
Credentials MA
Entity Individual
Enumeration date 04/25/2024
Last updated 12/12/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 044.011785
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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