Winchester, Tara D
Winchester, Tara D is an individual health care provider with primary practice located at 1111 Boardman Canfield Rd , Boardman OH 44512-4218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Winchester, Tara D can be contacted via phone (330) 965-0909.Contact Information
Primary practice address
1111 Boardman Canfield Rd
Boardman OH 44512-4218
Phone: (330) 965-0909
Fax: (330) 965-0897
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 34-008076 | Ohio |
Profile Details
NPI number | 1528034659 |
---|---|
LBN Legal business name | Winchester, Tara D |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2006 |
Last updated | Jan 30th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528034659 | NPPES |
Ohio | MEDICAID | 2430882 |
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