Shealy, Tara A
Shealy, Tara A is an individual health care provider with primary practice located at 446 Alta Rd Suite 6100, San Diego CA 92158-0001. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Shealy, Tara A can be contacted via phone (619) 671-6533.Contact Information
Primary practice address
446 Alta Rd Suite 6100
San Diego CA 92158-0001
Phone: (619) 671-6533
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 392596 | California |
Profile Details
NPI number | 1649309105 |
---|---|
LBN Legal business name | Shealy, Tara A |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2007 |
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.
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