Dendekker, Tara
Dendekker, Tara is an sole proprietor health care provider with primary practice located at 4129 Okemos Rd Ste 6, Okemos MI 48864-2822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dendekker, Tara can be contacted via phone (517) 803-4544.Contact Information
Primary practice address
4129 Okemos Rd Ste 6
Okemos MI 48864-2822
Phone: (517) 803-4544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704301947 | Michigan |
Profile Details
| NPI number | 1073936688 |
|---|---|
| LBN Legal business name | Dendekker, Tara |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2014 |
| Last updated | Feb 3rd, 2014 - about 12 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 | 1073936688 | NPPES |
| Michigan | Other | TD301947 | BCBSM |
| Michigan | Other | 4704301947 | BCBSM |
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