Hodge, Tara Ann

Hodge, Tara Ann is an individual health care provider with primary practice located at 1475 Grand Ave. , San Rafael CA 94901. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hodge, Tara Ann can be contacted via phone (415) 482-1807.

Contact Information

Primary practice address
1475 Grand Ave. San Rafael CA 94901
Phone: (415) 482-1807
Fax: (415) 482-1852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1881006179
LBN Legal business name Hodge, Tara Ann
Credentials MED, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2014
Last updated May 21st, 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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