Powers, Tara Louise
Powers, Tara Louise is an individual health care provider with primary practice located at 1020 29Th St Suite 570B, Sacramento CA 95816-5125. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Powers, Tara Louise can be contacted via phone (916) 453-5955.Contact Information
Primary practice address
1020 29Th St Suite 570B
Sacramento CA 95816-5125
Phone: (916) 453-5955
Fax: (916) 733-8250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | PA18452 | California |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | PA18452 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | PA18452 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA18452 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA18452 | California |
Profile Details
| NPI number | 1700938032 |
|---|---|
| LBN Legal business name | Powers, Tara Louise |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 27th, 2015 - about 10 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 | 1700938032 | NPPES |
| California | MEDICAID | GR0046090 |
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