Tarter Wilson, Alisha Cora

Tarter Wilson, Alisha Cora is an individual health care provider with primary practice located at 30 Medpark Square Suite 1, Somerset KY 42503-3812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Tarter Wilson, Alisha Cora can be contacted via phone (606) 451-0485.

Contact Information

Primary practice address
30 Medpark Square Suite 1 Somerset KY 42503-3812
Phone: (606) 451-0485
Fax: (606) 451-0229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1163 Kentucky

Profile Details

NPI number 1760629943
LBN Legal business name Tarter Wilson, Alisha Cora
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2009
Last updated Jan 28th, 2016 - about 10 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 1760629943 NPPES
Kentucky Other PA1163 KY LICENSE

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