Mitchell, Tara
Mitchell, Tara is an individual health care provider with primary practice located at 2370 Gause Boulevard , Slidell LA 70464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mitchell, Tara can be contacted via phone (985) 639-3755.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27112 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.202215 | Louisiana |
Profile Details
| NPI number | 1104034248 |
|---|---|
| LBN Legal business name | Mitchell, Tara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Dec 17th, 2008 - about 17 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 | 1104034248 | NPPES |
| Louisiana | MEDICAID | 1151441 | |
| Louisiana | MEDICAID | 009910486 | |
| Louisiana | MEDICAID | 03585311 |
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