Reynolds, Tara P
Reynolds, Tara P is an individual health care provider with primary practice located at 3201 Springhill Dr Ste 300 , North Little Rock AR 72117-2909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reynolds, Tara P can be contacted via phone (501) 534-4300.Contact Information
Primary practice address
3201 Springhill Dr Ste 300
North Little Rock AR 72117-2909
Phone: (501) 534-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E4035 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME89097 | Florida |
Profile Details
| NPI number | 1588634687 |
|---|---|
| LBN Legal business name | Reynolds, Tara P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jun 1st, 2024 - about last year |
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 | 1588634687 | NPPES |
| Arkansas | MEDICAID | 1669662615 | |
| Arkansas | MEDICAID | 154104001 |
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