Lesiak, Tara
Lesiak, Tara is an individual health care provider with primary practice located at 1804 S Eddy St , Grand Island NE 68801-7114. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Lesiak, Tara can be contacted via phone (308) 384-7896.Contact Information
Primary practice address
1804 S Eddy St
Grand Island NE 68801-7114
Phone: (308) 384-7896
Fax: (308) 384-9231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1417376591 |
|---|---|
| LBN Legal business name | Lesiak, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Apr 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417376591 | NPPES |
| Nebraska | MEDICAID | 470522836 |
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