Breslin, Tara M
Breslin, Tara M is an individual health care provider with primary practice located at 5320 Elliott Dr Suite 203, Ypsilanti MI 48197-1032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Breslin, Tara M can be contacted via phone (734) 475-4177.Contact Information
Primary practice address
5320 Elliott Dr Suite 203
Ypsilanti MI 48197-1032
Phone: (734) 475-4177
Fax: (734) 712-1744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 42352 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301089319 | Michigan |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 4301089319 | Michigan |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 036.131860 | Illinois |
Profile Details
| NPI number | 1922062538 |
|---|---|
| LBN Legal business name | Breslin, Tara M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jun 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922062538 | NPPES |
| Wisconsin | MEDICAID | 33341100 |
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