Greenidge, Tara

Greenidge, Tara is an sole proprietor health care provider with primary practice located at 2540 Severn Ave , Metairie LA 70002. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Greenidge, Tara can be contacted via phone (504) 454-3740.

Contact Information

Primary practice address
2540 Severn Ave Metairie LA 70002
Phone: (504) 454-3740
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1477935138
LBN Legal business name Greenidge, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2015
Last updated Jun 27th, 2018 - 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.

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