Koch, Tara Ellen
Koch, Tara Ellen is an sole proprietor health care provider with primary practice located at 505 Broadway St , Baraboo WI 53913-2183. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Koch, Tara Ellen can be contacted via phone (608) 355-4200.Contact Information
Primary practice address
505 Broadway St
Baraboo WI 53913-2183
Phone: (608) 355-4200
Fax: (608) 524-7990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 133039-030 | Wisconsin |
Profile Details
| NPI number | 1659600468 |
|---|---|
| LBN Legal business name | Koch, Tara Ellen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2009 |
| Last updated | Dec 8th, 2009 - about 15 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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