Hake, Tara Raney
Hake, Tara Raney is an individual health care provider with primary practice located at 1331 Poyntz Ave , Manhattan KS 66502-4362. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hake, Tara Raney can be contacted via phone (785) 537-2420.Contact Information
Primary practice address
1331 Poyntz Ave
Manhattan KS 66502-4362
Phone: (785) 537-2420
Fax: (785) 537-4980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1745 | Kansas |
Profile Details
| NPI number | 1932113511 |
|---|---|
| LBN Legal business name | Hake, Tara Raney |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | May 20th, 2008 - about 18 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 | 1932113511 | NPPES |
| Kansas | MEDICAID | 200420280A |
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