Broz, Tara Renee

Broz, Tara Renee is an sole proprietor health care provider with primary practice located at 1411 Stone Ledge Ct , North Canton OH 44720-1259. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Broz, Tara Renee can be contacted via phone (330) 896-8967.

Contact Information

Primary practice address
1411 Stone Ledge Ct North Canton OH 44720-1259
Phone: (330) 896-8967
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN. 119620 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN 350383 Ohio

Profile Details

NPI number 1225078777
LBN Legal business name Broz, Tara Renee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jun 19th, 2009 - about 15 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 1225078777 NPPES
Ohio MEDICAID 2593233

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