Powell, Tara
Powell, Tara is an individual health care provider with primary practice located at 2730 Channing Way , Idaho Falls ID 83404-5049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Powell, Tara can be contacted via phone (208) 542-7100.Contact Information
Primary practice address
2730 Channing Way
Idaho Falls ID 83404-5049
Phone: (208) 542-7100
Fax: (208) 542-7150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-1198 | Idaho |
Profile Details
| NPI number | 1093103699 |
|---|---|
| LBN Legal business name | Powell, Tara |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2015 |
| Last updated | Jan 5th, 2015 - about 11 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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