Holloran, Tara Lee
Holloran, Tara Lee is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, which is considered as her primary health care specialty. Holloran, Tara Lee can be contacted via phone (317) 630-2617.Contact Information
Primary practice address
705 Riley Hospital Dr
Indianapolis IN 46202-5109
Phone: (317) 630-2617
Fax: (317) 630-2587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 01063945 | Indiana |
Profile Details
| NPI number | 1255540217 |
|---|---|
| LBN Legal business name | Holloran, Tara Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Aug 14th, 2020 - about 5 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 | 1255540217 | NPPES |
| Indiana | MEDICAID | 200987800 |
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