Gill, Tara Marie
Gill, Tara Marie is an individual health care provider with primary practice located at N35W23770 Capitol Dr , Pewaukee WI 53072-6312. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gill, Tara Marie can be contacted via phone (262) 695-1870.Contact Information
Primary practice address
N35W23770 Capitol Dr
Pewaukee WI 53072-6312
Phone: (262) 695-1870
Fax: (262) 695-1872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4098 | Wisconsin |
Profile Details
| NPI number | 1003975129 |
|---|---|
| LBN Legal business name | Gill, Tara Marie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1003975129 | NPPES |
| Wisconsin | MEDICAID | 38961000 |
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