Ruth, Tara Marie Craffey

Ruth, Tara Marie Craffey is an individual health care provider with primary practice located at 3450 Mayland Ct , Henrico VA 23233-1468. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Ruth, Tara Marie Craffey can be contacted via phone (804) 484-3700.

Contact Information

Primary practice address
3450 Mayland Ct Henrico VA 23233-1468
Fax: (804) 320-6462
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001318 Virginia

Profile Details

NPI number 1487762514
LBN Legal business name Ruth, Tara Marie Craffey
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Nov 11th, 2021 - about 4 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 1487762514 NPPES
Virginia MEDICAID 010318254

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