Shipman, Tara A

Shipman, Tara A is an individual health care provider with primary practice located at 1651 E Market St , Warren OH 44483-6600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shipman, Tara A can be contacted via phone (330) 394-5900.

Contact Information

Primary practice address
1651 E Market St Warren OH 44483-6600
Phone: (330) 394-5900
Fax: (330) 372-0379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35072324 Ohio

Profile Details

NPI number 1992700751
LBN Legal business name Shipman, Tara A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jan 26th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992700751 NPPES
Ohio MEDICAID 2144549

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