Pousson, Tara

Pousson, Tara is an individual health care provider with primary practice located at 112 W Jefferson Blvd Suite 600, South Bend IN 46601-1923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pousson, Tara can be contacted via phone (812) 360-7086.

Contact Information

Primary practice address
112 W Jefferson Blvd Suite 600 South Bend IN 46601-1923
Phone: (812) 360-7086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704308864 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71005898A Indiana

Profile Details

NPI number 1265810584
LBN Legal business name Pousson, Tara
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2015
Last updated Jan 16th, 2017 - about 8 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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