Calder, Tara Anne
Calder, Tara Anne is an individual health care provider with primary practice located at 1132 Rutherford Rd , Greenville SC 29609-3927. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Calder, Tara Anne can be contacted via phone (864) 250-0005.Contact Information
Primary practice address
1132 Rutherford Rd
Greenville SC 29609-3927
Phone: (864) 250-0005
Fax: (864) 250-0028
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 1841 | South Carolina |
Profile Details
NPI number | 1528043114 |
---|---|
LBN Legal business name | Calder, Tara Anne |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2005 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528043114 | NPPES |
South Carolina | MEDICAID | TH1287 |
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