Davis, Tara

Davis, Tara is an sole proprietor health care provider with primary practice located at 4405 June Ave , Saint Louis MO 63121-3232. She recently has only one registered license in Ambulatory Health Care Facilities / Recovery Care, which is considered as her primary health care specialty. Davis, Tara can be contacted via phone (314) 456-4284.

Contact Information

Primary practice address
4405 June Ave Saint Louis MO 63121-3232
Phone: (314) 456-4284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Recovery Care 261QR0800X

Profile Details

NPI number 1447867395
LBN Legal business name Davis, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2020
Last updated Sep 24th, 2020 - about 6 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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