Benninger, Tara
Benninger, Tara is an individual health care provider with primary practice located at 130 Northwoods Blvd Ste B , Columbus OH 43235-7473. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Benninger, Tara can be contacted via phone (614) 233-1761.Contact Information
Primary practice address
130 Northwoods Blvd Ste B
Columbus OH 43235-7473
Phone: (614) 233-1761
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8030 | Ohio |
Profile Details
| NPI number | 1235584285 |
|---|---|
| LBN Legal business name | Benninger, Tara |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2016 |
| Last updated | Aug 1st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235584285 | NPPES |
| Ohio | MEDICAID | 1473276 |
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