Taylor, Tara Leigh
Taylor, Tara Leigh is an individual health care provider with primary practice located at 6770 Dixie Hwy Ste 314 , Clarkston MI 48346-5114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Taylor, Tara Leigh can be contacted via phone (248) 762-5820.Contact Information
Primary practice address
6770 Dixie Hwy Ste 314
Clarkston MI 48346-5114
Phone: (248) 762-5820
Fax: (888) 375-2104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | TT004211 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004211 | Michigan |
Profile Details
| NPI number | 1154512374 |
|---|---|
| LBN Legal business name | Taylor, Tara Leigh |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Mar 6th, 2023 - about 3 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 | 1154512374 | NPPES |
| Michigan | Other | TT004211 | STATE LICENSE |
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