Green, Tara

Green, Tara is an sole proprietor health care provider with primary practice located at 30 E Apple St Ste 5254A, Dayton OH 45409-2939. She recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Green, Tara can be contacted via phone (937) 208-4200.

Contact Information

Primary practice address
30 E Apple St Ste 5254A Dayton OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 208-4205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X RN217893 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X COA.02166-NS Ohio

Profile Details

NPI number 1831304658
LBN Legal business name Green, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 26th, 2013 - 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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