Rheubottom, Tara Lynn
Rheubottom, Tara Lynn is an individual health care provider with primary practice located at 10154 Jefferson Hwy , Baton Rouge LA 70809-2725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rheubottom, Tara Lynn can be contacted via phone (225) 927-5663.Contact Information
Primary practice address
10154 Jefferson Hwy
Baton Rouge LA 70809-2725
Phone: (225) 927-5663
Fax: (225) 928-7341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA.A10517 | Louisiana |
Profile Details
| NPI number | 1134118466 |
|---|---|
| LBN Legal business name | Rheubottom, Tara Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Mar 31st, 2009 - about 16 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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