Clark, Tara A
Clark, Tara A is an sole proprietor health care provider with primary practice located at 600 Ne Adams Dairy Pkwy , Blue Springs MO 64014-5493. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clark, Tara A can be contacted via phone (816) 251-6100.Contact Information
Primary practice address
600 Ne Adams Dairy Pkwy
Blue Springs MO 64014-5493
Phone: (816) 251-6100
Fax: (816) 347-4695
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2004023907 | Missouri |
Profile Details
NPI number | 1750345245 |
---|---|
LBN Legal business name | Clark, Tara A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 13th, 2006 |
Last updated | May 13th, 2019 - about 5 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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