Tara Marie Gill
Chiropractor
N35w23770 Capitol Dr
Pewaukee
, Wisconsin 53072-6312
Tara Marie Gill
Chiropractor
N35w23770 Capitol Dr
Pewaukee
, Wisconsin 53072-6312
(262) 695-1872
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Tara Marie Gill
- N35w23770 Capitol Dr
- Pewaukee, WI
- Zip : 53072-6312
- Fax : (262) 695-1872
- Phone : (262) 695-1870
Second Address
- Tara Marie Gill
- N35w23770 Capitol Dr
- Pewaukee, WI
- Zip : 53072-6312
- Fax : (262) 695-1872
- Phone : (262) 695-1870
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4098 | WI |
National Provider Identifier
| NPI | 1003975129 |
|---|---|
| Provider Name | Tara Marie Gill |
| First Address | Pewaukee, WI 53072-6312 |
| Second Address | Pewaukee, WI 53072-6312 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 38961000 | (05) | WI |
| V05278 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.