Wiebe, Tara Suzanne

Wiebe, Tara Suzanne is an individual health care provider with primary practice located at 9397 Crown Crest Blvd Suite 331, Parker CO 80138-8575. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Wiebe, Tara Suzanne can be contacted via phone (303) 840-8780.

Contact Information

Primary practice address
9397 Crown Crest Blvd Suite 331 Parker CO 80138-8575
Phone: (303) 840-8780
Fax: (303) 840-8795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 426635 Colorado
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X DR.0042635 Colorado

Profile Details

NPI number 1225109531
LBN Legal business name Wiebe, Tara Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated May 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225109531 NPPES
Colorado MEDICAID 74733877

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