Combs, Tarra Anne
Combs, Tarra Anne is an individual health care provider with primary practice located at 700 N Westhaven Dr , Oshkosh WI 54904-6947. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Combs, Tarra Anne can be contacted via phone (920) 456-2030.Contact Information
Primary practice address
700 N Westhaven Dr
Oshkosh WI 54904-6947
Phone: (920) 456-2030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3685-57 | Wisconsin |
Profile Details
| NPI number | 1912252198 |
|---|---|
| LBN Legal business name | Combs, Tarra Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2012 |
| Last updated | May 12th, 2022 - about 3 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 | 1912252198 | NPPES |
| Wisconsin | MEDICAID | 100093331 |
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