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
Fax: (330) 965-0897
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528034659 NPPES
Ohio MEDICAID 2430882

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