Deiter-Enright, Tarra Louisa

Deiter-Enright, Tarra Louisa is an individual health care provider with primary practice located at 424 Yellowstone Ave Ste 230 , Cody WY 82414-9310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Deiter-Enright, Tarra Louisa can be contacted via phone (307) 578-2975.

Contact Information

Primary practice address
424 Yellowstone Ave Ste 230 Cody WY 82414-9310
Phone: (307) 578-2975
Fax: (307) 578-2979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14504A Wyoming

Profile Details

NPI number 1609063825
LBN Legal business name Deiter-Enright, Tarra Louisa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated May 14th, 2024 - about 2 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 1609063825 NPPES
Colorado MEDICAID 50734555
Colorado Other 271559YK1C
Colorado MEDICAID 215506100

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