Desatoff, Tarah Ruth

Desatoff, Tarah Ruth is an individual health care provider with primary practice located at 1001 S Knik Goose Bay Rd , Wasilla AK 99654-8083. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Desatoff, Tarah Ruth can be contacted via phone (907) 631-7640.

Contact Information

Primary practice address
1001 S Knik Goose Bay Rd Wasilla AK 99654-8083
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X PENDING Alaska

Profile Details

NPI number 1497317168
LBN Legal business name Desatoff, Tarah Ruth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Jul 2nd, 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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