Brown, Tara
Brown, Tara is an individual health care provider with primary practice located at 550 Cherry St Se , Grand Rapids MI 49503-4748. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Brown, Tara can be contacted via phone (616) 235-7289.Contact Information
Primary practice address
550 Cherry St Se
Grand Rapids MI 49503-4748
Phone: (616) 235-7289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902017296 | Michigan |
Profile Details
| NPI number | 1164896593 |
|---|---|
| LBN Legal business name | Brown, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2015 |
| Last updated | Nov 23rd, 2015 - about 9 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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