Judge, Tara

Judge, Tara is an individual health care provider with primary practice located at 95 Poplar St , Kingston PA 18704-2809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Judge, Tara can be contacted via phone (570) 328-4165.

Contact Information

Primary practice address
95 Poplar St Kingston PA 18704-2809
Phone: (570) 328-4165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA062166 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA005449 Pennsylvania

Profile Details

NPI number 1417540287
LBN Legal business name Judge, Tara
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2021
Last updated Feb 12th, 2021 - about 4 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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