Brown, Tara Renee

Brown, Tara Renee is an individual health care provider with primary practice located at 5210 N Belt Hwy , Saint Joseph MO 64506-1211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Tara Renee can be contacted via phone (816) 271-1330.

Contact Information

Primary practice address
5210 N Belt Hwy Saint Joseph MO 64506-1211
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2013021958 Missouri

Profile Details

NPI number 1659697738
LBN Legal business name Brown, Tara Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Nov 20th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659697738 NPPES
Missouri Other P01230394 RR MEDICARE
Missouri MEDICAID 201074810A RR MEDICARE
Missouri MEDICAID 1659697738 RR MEDICARE

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