Bivens, Tara
Bivens, Tara is an individual health care provider with primary practice located at 5659 Stadium Dr , Kalamazoo MI 49009-1932. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bivens, Tara can be contacted via phone (269) 372-0436.Contact Information
Primary practice address
5659 Stadium Dr
Kalamazoo MI 49009-1932
Phone: (269) 372-0436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 5201007551 | Michigan |
Profile Details
| NPI number | 1376964866 |
|---|---|
| LBN Legal business name | Bivens, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2013 |
| Last updated | Dec 30th, 2013 - about 11 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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