Greer, Tara B
Greer, Tara B is an individual health care provider with primary practice located at 1650 Faulk St Suite A, Monroe NC 28112-5263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Greer, Tara B can be contacted via phone (704) 290-0444.Contact Information
Primary practice address
1650 Faulk St Suite A
Monroe NC 28112-5263
Phone: (704) 290-0444
Fax: (704) 290-0445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5004144 | North Carolina |
Profile Details
| NPI number | 1508019100 |
|---|---|
| LBN Legal business name | Greer, Tara B |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Jun 11th, 2009 - about 15 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 | 1508019100 | NPPES |
| South Carolina | MEDICAID | NP1359 | |
| South Carolina | MEDICAID | 7004437 |
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