Wheeldon, Tara
Wheeldon, Tara is an individual health care provider with primary practice located at 323 E 6Th St , Port Angeles WA 98362-6203. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wheeldon, Tara can be contacted via phone (360) 457-8355.Contact Information
Primary practice address
323 E 6Th St
Port Angeles WA 98362-6203
Phone: (360) 457-8355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | SA60961352 | Washington |
Profile Details
| NPI number | 1285274720 |
|---|---|
| LBN Legal business name | Wheeldon, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2020 |
| Last updated | Jan 13th, 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 | 1285274720 | NPPES |
| Washington | MEDICAID | SA60961352 |
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