Rose, Tara Kern
Rose, Tara Kern is an individual health care provider with primary practice located at 450 Century Iii Mall , West Mifflin PA 15122. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rose, Tara Kern can be contacted via phone (412) 655-1988.Contact Information
Primary practice address
450 Century Iii Mall
West Mifflin PA 15122
Phone: (412) 655-1988
Fax: (412) 653-6460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | Pennsylvania |
Profile Details
| NPI number | 1083613541 |
|---|---|
| LBN Legal business name | Rose, Tara Kern |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1083613541 | NPPES |
| Pennsylvania | MEDICAID | 0017809350002 |
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