Seery, Tara E
Seery, Tara E is an sole proprietor health care provider with primary practice located at 16105 Sand Canyon Ave Ste 230 , Irvine CA 92618-3780. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Seery, Tara E can be contacted via phone (949) 764-5347.Contact Information
Primary practice address
16105 Sand Canyon Ave Ste 230
Irvine CA 92618-3780
Phone: (949) 764-5347
Fax: (949) 557-0221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036118723 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 036118723 | Illinois |
Profile Details
| NPI number | 1043415961 |
|---|---|
| LBN Legal business name | Seery, Tara E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2007 |
| Last updated | May 18th, 2022 - about 2 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 | 1043415961 | NPPES |
| Illinois | MEDICAID | 036118723 |
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