Smith, Tara

Smith, Tara is an sole proprietor health care provider with primary practice located at 3470 Baltimore Ave , Pueblo CO 81008-1520. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Smith, Tara can be contacted via phone (719) 561-9850.

Contact Information

Primary practice address
3470 Baltimore Ave Pueblo CO 81008-1520
Phone: (719) 561-9850
Fax: (719) 545-4097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1861729659
LBN Legal business name Smith, Tara
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2009
Last updated Nov 16th, 2009 - about 17 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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