Ostrom, Tara Maria
Ostrom, Tara Maria is an individual health care provider with primary practice located at 20040 N 19Th Ave Suite A, Phoenix AZ 85027-4255. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ostrom, Tara Maria can be contacted via phone (623) 869-5000.Contact Information
Primary practice address
20040 N 19Th Ave Suite A
Phoenix AZ 85027-4255
Phone: (623) 869-5000
Fax: (623) 869-0927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26889 | Arizona |
Profile Details
| NPI number | 1124017009 |
|---|---|
| LBN Legal business name | Ostrom, Tara Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jan 27th, 2017 - about 9 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 | 1124017009 | NPPES |
| Arizona | MEDICAID | 565492 |
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