Stock, Tara Lynn

Stock, Tara Lynn is an individual health care provider with primary practice located at 641 W 9 Mile Rd Suite A, Ferndale MI 48220-1779. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Stock, Tara Lynn can be contacted via phone (248) 548-7363.

Contact Information

Primary practice address
641 W 9 Mile Rd Suite A Ferndale MI 48220-1779
Phone: (248) 548-7363
Fax: (248) 548-5304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002295 Michigan

Profile Details

NPI number 1609008218
LBN Legal business name Stock, Tara Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2009
Last updated Nov 23rd, 2021 - about 3 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 1609008218 NPPES
Michigan MEDICAID 1609008218

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