Mcmorris, Tara Kathleen

Mcmorris, Tara Kathleen is an individual health care provider with primary practice located at 601 John St , Kalamazoo MI 49007-5341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcmorris, Tara Kathleen can be contacted via phone (269) 341-7654.

Contact Information

Primary practice address
601 John St Kalamazoo MI 49007-5341
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006082 Michigan

Profile Details

NPI number 1942589874
LBN Legal business name Mcmorris, Tara Kathleen
Credentials M.S., PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Sep 21st, 2016 - about 10 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 1942589874 NPPES
Michigan Other 1417961137 BCBSM - BRONSON
Michigan MEDICAID 1942589874 BCBSM - BRONSON

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