Shea, Tara

Shea, Tara is an sole proprietor health care provider with primary practice located at 2050 N Haggerty Rd Suite 100, Canton MI 48187-3795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shea, Tara can be contacted via phone (734) 981-7086.

Contact Information

Primary practice address
2050 N Haggerty Rd Suite 100 Canton MI 48187-3795
Fax: (734) 981-5094
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704201117 Michigan

Profile Details

NPI number 1457439481
LBN Legal business name Shea, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Dec 23rd, 2019 - about 5 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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