Caudle, Tara
Caudle, Tara is an individual health care provider with primary practice located at 851 4Th Ave E , Dickinson ND 58601-4014. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Caudle, Tara can be contacted via phone (701) 456-7242.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1456 | North Dakota |
Profile Details
| NPI number | 1720284060 |
|---|---|
| LBN Legal business name | Caudle, Tara |
| Credentials | DPT, PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Nov 1st, 2023 - about 2 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 | 1720284060 | NPPES |
| North Dakota | Other | N713425 | MEDICARE PART B |
| North Dakota | MEDICAID | 51698 | MEDICARE PART B |
| North Dakota | Other | COP28486 | MEDICARE PART B |
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