Katz, Tara
Katz, Tara is an individual health care provider with primary practice located at 612 N Andover Rd , Andover KS 67002-9778. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Katz, Tara can be contacted via phone (316) 733-6618.Contact Information
Primary practice address
612 N Andover Rd
Andover KS 67002-9778
Phone: (316) 733-6618
Fax: (316) 733-5299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 05-36048 | Kansas |
Profile Details
| NPI number | 1386962215 |
|---|---|
| LBN Legal business name | Katz, Tara |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2010 |
| Last updated | Jun 10th, 2016 - about 9 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 | 1386962215 | NPPES |
| Kansas | MEDICAID | 201072060A |
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