Davis, Tara A
Davis, Tara A is an individual health care provider with primary practice located at 235 S 33Rd St , Philadelphia PA 19104-6322. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Davis, Tara A can be contacted via phone (800) 789-7366.Contact Information
Primary practice address
235 S 33Rd St
Philadelphia PA 19104-6322
Phone: (800) 789-7366
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | A0000485 | Maryland |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 000133 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA064151 | Pennsylvania |
Profile Details
NPI number | 1346394699 |
---|---|
LBN Legal business name | Davis, Tara A |
Credentials | PA-C, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | Nov 5th, 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.
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