Eastin, Tara Jean
Eastin, Tara Jean is an individual health care provider with primary practice located at 33720 Harper Ave , Clinton Township MI 48035-4255. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Eastin, Tara Jean can be contacted via phone (586) 294-5210.Contact Information
Primary practice address
33720 Harper Ave
Clinton Township MI 48035-4255
Phone: (586) 294-5210
Fax: (586) 294-0215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | DO034313 | District of Columbia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101017326 | Michigan |
Profile Details
| NPI number | 1558568931 |
|---|---|
| LBN Legal business name | Eastin, Tara Jean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Nov 16th, 2012 - about 14 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 | 1558568931 | NPPES |
| Michigan | Other | TE017326 | MI LICENSE |
| Michigan | Other | DO034313 | MI LICENSE |
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