Klix, Tara Marie

Klix, Tara Marie is an individual health care provider with primary practice located at 804 Service Road Room D100, East Lansing MI 48824-7062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Klix, Tara Marie can be contacted via phone (517) 353-5053.

Contact Information

Primary practice address
804 Service Road Room D100 East Lansing MI 48824-7062
Phone: (517) 353-5053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101017398 Michigan

Profile Details

NPI number 1851567788
LBN Legal business name Klix, Tara Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 13th, 2012 - about 14 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 1851567788 NPPES
Michigan MEDICAID 1851567788

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