Tarawollie, Inniss M
Tarawollie, Inniss M is an sole proprietor health care provider with primary practice located at 5108 W 38Th St , Indianapolis IN 46254-3326. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Tarawollie, Inniss M can be contacted via phone (317) 760-7180.Contact Information
Primary practice address
5108 W 38Th St
Indianapolis IN 46254-3326
Phone: (317) 760-7180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | BC20501718 | Indiana |
Profile Details
| NPI number | 1386306231 |
|---|---|
| LBN Legal business name | Tarawollie, Inniss M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2021 |
| Last updated | Oct 7th, 2021 - about 5 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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