Manchin, Tara
Manchin, Tara is an individual health care provider with primary practice located at 4825 Maccorkle Ave Sw Ste F , South Charleston WV 25309-1365. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Manchin, Tara can be contacted via phone (304) 346-9667.Contact Information
Primary practice address
4825 Maccorkle Ave Sw Ste F
South Charleston WV 25309-1365
Phone: (304) 346-9667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 001277 | West Virginia |
Profile Details
| NPI number | 1144906587 |
|---|---|
| LBN Legal business name | Manchin, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2023 |
| Last updated | Jun 22nd, 2023 - about 2 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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