Blank, Tara Lynn

Blank, Tara Lynn is an individual health care provider with primary practice located at 1231 Pine Grove Ave Suite 2A, Port Huron MI 48060-3500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blank, Tara Lynn can be contacted via phone (810) 982-8742.

Contact Information

Primary practice address
1231 Pine Grove Ave Suite 2A Port Huron MI 48060-3500
Phone: (810) 982-8742
Fax: (810) 984-8291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003675 Michigan

Profile Details

NPI number 1841266053
LBN Legal business name Blank, Tara Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 9th, 2010 - about 14 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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