Burcham, Tarah

Burcham, Tarah is an individual health care provider with primary practice located at 225 E Jackson Ave , Jonesboro AR 72401-3119. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Burcham, Tarah can be contacted via phone (870) 932-4211.

Contact Information

Primary practice address
225 E Jackson Ave Jonesboro AR 72401-3119
Phone: (870) 932-4211
Fax: (870) 931-9141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C01531 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C001531 Arkansas

Profile Details

NPI number 1184646218
LBN Legal business name Burcham, Tarah
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 26th, 2023 - about 3 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 1184646218 NPPES
Arkansas Other 5Y405C702 MEDICARE
Arkansas MEDICAID 158116001 MEDICARE

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