Rakoski, Tarah Jean

Rakoski, Tarah Jean is an individual health care provider with primary practice located at 819 N Shiawassee St Ste 200 , Owosso MI 48867-1601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rakoski, Tarah Jean can be contacted via phone (989) 541-2663.

Contact Information

Primary practice address
819 N Shiawassee St Ste 200 Owosso MI 48867-1601
Phone: (989) 541-2663
Fax: (989) 723-3601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007716 Michigan

Profile Details

NPI number 1982077400
LBN Legal business name Rakoski, Tarah Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Sep 19th, 2023 - about 2 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 1982077400 NPPES
Michigan MEDICAID 1982077400

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