Farrar, Tasha

Farrar, Tasha is an individual health care provider with primary practice located at 3301 N Ballard Rd Ste C , Appleton WI 54911-9002. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Farrar, Tasha can be contacted via phone (920) 841-8326.

Contact Information

Primary practice address
3301 N Ballard Rd Ste C Appleton WI 54911-9002
Phone: (920) 841-8326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 042-0011157 Vermont
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 042-0011157 Vermont
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 54559-020 Wisconsin

Profile Details

NPI number 1316977192
LBN Legal business name Farrar, Tasha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Feb 12th, 2020 - about 4 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 1316977192 NPPES
Wisconsin Other 54559-020 STATE LICENSE
Wisconsin Other 042-0011157 STATE LICENSE

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