Eastin, Tara Jean

Eastin, Tara Jean is an individual health care provider with primary practice located at 33720 Harper Ave , Clinton Township MI 48035-4255. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Eastin, Tara Jean can be contacted via phone (586) 294-5210.

Contact Information

Primary practice address
33720 Harper Ave Clinton Township MI 48035-4255
Phone: (586) 294-5210
Fax: (586) 294-0215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X DO034313 District of Columbia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101017326 Michigan

Profile Details

NPI number 1558568931
LBN Legal business name Eastin, Tara Jean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Nov 16th, 2012 - about 12 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 1558568931 NPPES
Michigan Other TE017326 MI LICENSE
Michigan Other DO034313 MI LICENSE

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