Assi, Tara L

Assi, Tara L is an individual health care provider with primary practice located at 450 S Washington St 3Rd Floor Suite C, Gettysburg PA 17325-2500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Assi, Tara L can be contacted via phone (717) 339-3110.

Contact Information

Primary practice address
450 S Washington St 3Rd Floor Suite C Gettysburg PA 17325-2500
Phone: (717) 339-3110
Fax: (717) 339-3108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA051248 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA051248 Pennsylvania

Profile Details

NPI number 1700998051
LBN Legal business name Assi, Tara L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 9th, 2016 - about 10 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 1700998051 NPPES
Pennsylvania Other 1545319 GATEWAY-WMG
Pennsylvania MEDICAID 0019753370001 GATEWAY-WMG
Pennsylvania Other 2016748 GATEWAY-WMG

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