Chavez, Tara K
Chavez, Tara K is an individual health care provider with primary practice located at 100 School Dr Huachuca City School, Huachuca City AZ 85616. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Chavez, Tara K can be contacted via phone (520) 456-9842.Contact Information
Primary practice address
100 School Dr Huachuca City School
Huachuca City AZ 85616
Phone: (520) 456-9842
Fax: (520) 456-9811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN106452 | Arizona |
Profile Details
| NPI number | 1184724833 |
|---|---|
| LBN Legal business name | Chavez, Tara K |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1184724833 | NPPES |
| Arizona | MEDICAID | 036384 |
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