Pelletier, Tara Kay

Pelletier, Tara Kay is an individual health care provider with primary practice located at 100 Foden Road East Suite 201, South Portland ME 04106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pelletier, Tara Kay can be contacted via phone (207) 874-1489.

Contact Information

Primary practice address
100 Foden Road East Suite 201 South Portland ME 04106
Phone: (207) 874-1489
Fax: (207) 523-8590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 224963 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1957 Maine

Profile Details

NPI number 1124016118
LBN Legal business name Pelletier, Tara Kay
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Feb 22nd, 2011 - 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.

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