Konat, Tara

Konat, Tara is an individual health care provider with primary practice located at 6405 France Ave S Suite W200, Edina MN 55435-2163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Konat, Tara can be contacted via phone (952) 924-9005.

Contact Information

Primary practice address
6405 France Ave S Suite W200 Edina MN 55435-2163
Phone: (952) 924-9005
Fax: (952) 924-0330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10106 Minnesota

Profile Details

NPI number 1629032198
LBN Legal business name Konat, Tara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629032198 NPPES
Minnesota Other 0123289 MEDICA NUMBER

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