Henderson-Toderic, Tarah L

Henderson-Toderic, Tarah L is an individual health care provider with primary practice located at 56-117 Pualalea St , Kahuku HI 96731-2052. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Henderson-Toderic, Tarah L can be contacted via phone (706) 414-4731.

Contact Information

Primary practice address
56-117 Pualalea St Kahuku HI 96731-2052
Phone: (706) 414-4731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 85873 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2572 Alabama

Profile Details

NPI number 1669950879
LBN Legal business name Henderson-Toderic, Tarah L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Feb 6th, 2023 - about last year

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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