Viechnicki, Tara M
Viechnicki, Tara M is an individual health care provider with primary practice located at 477 N El Camino Real Ste C202 , Encinitas CA 92024-1332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Viechnicki, Tara M can be contacted via phone (760) 631-3500.Contact Information
Primary practice address
477 N El Camino Real Ste C202
Encinitas CA 92024-1332
Phone: (760) 631-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101243689 | Virginia |
Profile Details
| NPI number | 1235156837 |
|---|---|
| LBN Legal business name | Viechnicki, Tara M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Dec 2nd, 2020 - about 6 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 | 1235156837 | NPPES |
| Virginia | MEDICAID | 1235156837 |
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