Pratt, Tara Sue

Pratt, Tara Sue is an individual health care provider with primary practice located at 1900 State St Suite 2, Bettendorf IA 52722-5195. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Pratt, Tara Sue can be contacted via phone (563) 323-1551.

Contact Information

Primary practice address
1900 State St Suite 2 Bettendorf IA 52722-5195
Phone: (563) 323-1551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 06817 Iowa

Profile Details

NPI number 1891763900
LBN Legal business name Pratt, Tara Sue
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 23rd, 2012 - about 14 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 1891763900 NPPES
Other 39899 BLUE CROSS BLUE SHIELD

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