Ernst, Tara L

Ernst, Tara L is an individual health care provider with primary practice located at 23107 E Via Del Sol , Queen Creek AZ 85142-1275. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ernst, Tara L can be contacted via phone (480) 600-6838.

Contact Information

Primary practice address
23107 E Via Del Sol Queen Creek AZ 85142-1275
Phone: (480) 600-6838
Fax: (833) 623-4430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19051 Arizona

Profile Details

NPI number 1902535982
LBN Legal business name Ernst, Tara L
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2022
Last updated Jun 6th, 2022 - about 3 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 1902535982 NPPES
Arizona Other 1710412382 NPI OF CLINICAL SUPERVISOR (MARIE TUELLER, MED, LPC)

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