Slack, Tara A
Slack, Tara A is an individual health care provider with primary practice located at 1000 Eddy Street , Providence RI 02905. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Slack, Tara A can be contacted via phone (401) 533-9100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT00837 | Rhode Island |
Profile Details
| NPI number | 1831127844 |
|---|---|
| LBN Legal business name | Slack, Tara A |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jan 20th, 2011 - about 15 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 | 1831127844 | NPPES |
| Rhode Island | Other | 99947 | SS BCROSS |
| Rhode Island | Other | 409462 | SS BCROSS |
| Rhode Island | Other | 2058 | SS BCROSS |
| Rhode Island | Other | 6400144 | SS BCROSS |
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