Jaramillo, Tara K
Jaramillo, Tara K is an individual health care provider with primary practice located at 1115 N California St , Socorro NM 87801-0642. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jaramillo, Tara K can be contacted via phone (505) 838-0800.Contact Information
Primary practice address
1115 N California St
Socorro NM 87801-0642
Phone: (505) 838-0800
Fax: (505) 838-3999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1487 | New Mexico |
Profile Details
| NPI number | 1063553360 |
|---|---|
| LBN Legal business name | Jaramillo, Tara K |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jul 9th, 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 | 1063553360 | NPPES |
| New Mexico | Other | 88722520 | MEDICAID PCO |
| New Mexico | MEDICAID | D4005 | MEDICAID PCO |
| New Mexico | Other | 00P3051 | MEDICAID PCO |
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