Dockery, Tahira

Dockery, Tahira is an sole proprietor health care provider with primary practice located at 157 Bustleton Pike # 161 , Feasterville Trevose PA 19053-6480. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Behavioral Health & Social Service Providers / Clinical. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dockery, Tahira can be contacted via phone (215) 322-0222.

Contact Information

Primary practice address
157 Bustleton Pike # 161 Feasterville Trevose PA 19053-6480
Phone: (215) 322-0222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP011319 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016925 Pennsylvania

Profile Details

NPI number 1427342781
LBN Legal business name Dockery, Tahira
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2011
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427342781 NPPES
Pennsylvania MEDICAID 1326484684

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