Reynolds, Tara P

Reynolds, Tara P is an individual health care provider with primary practice located at 3201 Springhill Dr Ste 300 , North Little Rock AR 72117-2909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reynolds, Tara P can be contacted via phone (501) 534-4300.

Contact Information

Primary practice address
3201 Springhill Dr Ste 300 North Little Rock AR 72117-2909
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E4035 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME89097 Florida

Profile Details

NPI number 1588634687
LBN Legal business name Reynolds, Tara P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 1st, 2024 - about 5 months 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 1588634687 NPPES
Arkansas MEDICAID 1669662615
Arkansas MEDICAID 154104001

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