Bonham, Tara

Bonham, Tara is an individual health care provider with primary practice located at 170 Altamira Avenue , Cedar City UT 84720. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Bonham, Tara can be contacted via phone (435) 586-0213.

Contact Information

Primary practice address
170 Altamira Avenue Cedar City UT 84720
Phone: (435) 586-0213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1043579329
LBN Legal business name Bonham, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2012
Last updated May 8th, 2012 - about 13 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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