Frye, Tara Marie
Frye, Tara Marie is an individual health care provider with primary practice located at 78 Omega Dr Bldg C , Newark DE 19713-2064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Frye, Tara Marie can be contacted via phone (302) 368-2883.Contact Information
Primary practice address
78 Omega Dr Bldg C
Newark DE 19713-2064
Phone: (302) 368-2883
Fax: (302) 368-2892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C50011410 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C5-0011410 | Delaware |
Profile Details
| NPI number | 1417575549 |
|---|---|
| LBN Legal business name | Frye, Tara Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2020 |
| Last updated | Nov 16th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417575549 | NPPES |
| Delaware | Other | C50011410 | STATE LICENSE |
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