Tarrant, Jeanine M

Tarrant, Jeanine M is an individual health care provider with primary practice located at 380 Empire Rd , Lafayette CO 80026-2677. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tarrant, Jeanine M can be contacted via phone (303) 665-8444.

Contact Information

Primary practice address
380 Empire Rd Lafayette CO 80026-2677
Fax: (303) 665-8848
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 392 Colorado

Profile Details

NPI number 1689770240
LBN Legal business name Tarrant, Jeanine M
Credentials PAC,NP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 20th, 2014 - about 12 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 1689770240 NPPES
Colorado MEDICAID 07003924

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