Dirks, Tara

Dirks, Tara is an sole proprietor health care provider with primary practice located at 144 Shore Dr , New Windsor NY 12553-5486. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Dirks, Tara can be contacted via phone (845) 590-1269.

Contact Information

Primary practice address
144 Shore Dr New Windsor NY 12553-5486
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1867802

Profile Details

NPI number 1619239233
LBN Legal business name Dirks, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2012
Last updated Mar 10th, 2015 - about 9 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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