Hallahan, Tara Ann

Hallahan, Tara Ann is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Hallahan, Tara Ann can be contacted via phone (303) 306-7783.

Contact Information

Primary practice address
1024 S Lemay Ave Fort Collins CO 80524-3929
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101014849 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44750 Colorado

Profile Details

NPI number 1508849514
LBN Legal business name Hallahan, Tara Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated May 13th, 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 1508849514 NPPES
Colorado MEDICAID 80550070
Colorado Other S5008
Colorado Other P00371081
Colorado MEDICAID 125166000

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