Einsweiler-Mickelson, Tara K

Einsweiler-Mickelson, Tara K is an sole proprietor health care provider with primary practice located at 7289 Hickory Ct , East Dubuque IL 61025-9595. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Einsweiler-Mickelson, Tara K can be contacted via phone (815) 747-2646.

Contact Information

Primary practice address
7289 Hickory Ct East Dubuque IL 61025-9595
Phone: (815) 747-2646
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Illinois

Profile Details

NPI number 1477941086
LBN Legal business name Einsweiler-Mickelson, Tara K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2015
Last updated Jan 5th, 2015 - about 10 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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