Carr, Tara P

Carr, Tara P is an individual health care provider with primary practice located at 10 Airport Way , Cold Bay AK 99571-0294. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Carr, Tara P can be contacted via phone (907) 532-2000.

Contact Information

Primary practice address
10 Airport Way Cold Bay AK 99571-0294
Phone: (907) 532-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1659404713
LBN Legal business name Carr, Tara P
Credentials CHP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Mar 17th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659404713 NPPES
Alaska MEDICAID CL6515

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