Ballinger, Tarah Jean

Ballinger, Tarah Jean is an individual health care provider with primary practice located at 1030 W Michigan St , Indianapolis IN 46202-5112. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Ballinger, Tarah Jean can be contacted via phone (317) 948-6260.

Contact Information

Primary practice address
1030 W Michigan St Indianapolis IN 46202-5112
Phone: (317) 948-6260
Fax: (317) 278-2262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01076042A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01076042A Indiana

Profile Details

NPI number 1417217639
LBN Legal business name Ballinger, Tarah Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Dec 4th, 2021 - about 4 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 1417217639 NPPES
Indiana Other 264910140 MEDICARE PTAN
Indiana MEDICAID 201305570 MEDICARE PTAN

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