Klix, Tara Marie
Klix, Tara Marie is an individual health care provider with primary practice located at 804 Service Road Room D100, East Lansing MI 48824-7062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Klix, Tara Marie can be contacted via phone (517) 353-5053.Contact Information
Primary practice address
804 Service Road Room D100
East Lansing MI 48824-7062
Phone: (517) 353-5053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5101017398 | Michigan |
Profile Details
| NPI number | 1851567788 |
|---|---|
| LBN Legal business name | Klix, Tara Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Apr 13th, 2012 - about 13 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 | 1851567788 | NPPES |
| Michigan | MEDICAID | 1851567788 |
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