Roaldson, Tara Jeanine

Roaldson, Tara Jeanine is an individual health care provider with primary practice located at 701 3Rd St Nw , Jamestown ND 58401-2963. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Roaldson, Tara Jeanine can be contacted via phone (701) 252-3850.

Contact Information

Primary practice address
701 3Rd St Nw Jamestown ND 58401-2963
Phone: (701) 252-3850
Fax: (701) 952-5154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1222 North Dakota

Profile Details

NPI number 1306970926
LBN Legal business name Roaldson, Tara Jeanine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 9th, 2007 - about 18 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 1306970926 NPPES
North Dakota Other 23194 BCBS OF NORTH DAKOTA
North Dakota MEDICAID 52502 BCBS OF NORTH DAKOTA

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