Zimmerman, Tara
Zimmerman, Tara is an individual health care provider with primary practice located at N2911 Marshall Ln , Lake Geneva WI 53147-3548. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Zimmerman, Tara can be contacted via phone (815) 494-4605.Contact Information
Primary practice address
N2911 Marshall Ln
Lake Geneva WI 53147-3548
Phone: (815) 494-4605
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13226 - 24 | Wisconsin |
Profile Details
| NPI number | 1184090581 |
|---|---|
| LBN Legal business name | Zimmerman, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Aug 19th, 2015 - about 11 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 | 1184090581 | NPPES |
| Wisconsin | Other | 13226 - 24 | NOT APPLICABLE |
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