Blackfeather, Tara
Blackfeather, Tara is an sole proprietor health care provider with primary practice located at 1455 Dixon Ave , Lafayette CO 80026-8879. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Blackfeather, Tara can be contacted via phone (303) 443-8500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1811630460 |
|---|---|
| LBN Legal business name | Blackfeather, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2022 |
| Last updated | Apr 20th, 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 | 1811630460 | NPPES |
| Colorado | MEDICAID | K754314 |
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