Frazer, Tara

Frazer, Tara is an individual health care provider with primary practice located at 25755 Telegraph Rd , Brownstown MI 48134-1013. 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. Frazer, Tara can be contacted via phone (734) 782-7003.

Contact Information

Primary practice address
25755 Telegraph Rd Brownstown MI 48134-1013
Phone: (734) 782-7003
Fax: (734) 782-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501017030 Michigan

Profile Details

NPI number 1396142287
LBN Legal business name Frazer, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2014
Last updated Apr 26th, 2016 - about 10 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 1396142287 NPPES
Other 0P33780 GROUP PTAN
Other 1538198700 GROUP PTAN
Other 5501017030 GROUP PTAN
Other P33780004 GROUP PTAN

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