Evans, Tara N.

Evans, Tara N. is an individual health care provider with primary practice located at 400 N Morris St , Stoughton WI 53589-1857. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Evans, Tara N. can be contacted via phone (608) 873-5651.

Contact Information

Primary practice address
400 N Morris St Stoughton WI 53589-1857
Phone: (608) 873-5651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9705-024 Wisconsin

Profile Details

NPI number 1477683662
LBN Legal business name Evans, Tara N.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477683662 NPPES
Wisconsin MEDICAID 40360100

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