Carlesco, Tara Nicole
Carlesco, Tara Nicole is an individual health care provider with primary practice located at 821 N Main Street Ext Ste 210 , Wallingford CT 06492-2464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Carlesco, Tara Nicole can be contacted via phone (203) 294-3610.Contact Information
Primary practice address
821 N Main Street Ext Ste 210
Wallingford CT 06492-2464
Phone: (203) 294-3610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4160 | Connecticut |
Profile Details
| NPI number | 1679059505 |
|---|---|
| LBN Legal business name | Carlesco, Tara Nicole |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2018 |
| Last updated | Jul 13th, 2018 - about 6 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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