Martin, Tara
Martin, Tara is an sole proprietor health care provider with primary practice located at 4545 N 24Th St , Milwaukee WI 53209-6272. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Martin, Tara can be contacted via phone (414) 651-1357.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1538815063 |
|---|---|
| LBN Legal business name | Martin, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2022 |
| Last updated | Feb 23rd, 2022 - about 4 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 | 1538815063 | NPPES |
| Wisconsin | MEDICAID | 88-0792965 |
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