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Contact Information

TARA J EASTIN, DO
33720 HARPER AVE
CILNTON TOWNSHIP, MI48035-4255
 Phone: 586-294-5210
 Fax: 586-294-0215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TARA J EASTIN · (Female)

NPI # 1558568931
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/29/2007
Last updated 11/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • DC License # DO034313
  • MI License # 5101017326
  • DC Other DO034313 LICENSE
  • MI Other TE017326 MI LICENSE
Hospital affiliation(s)
  • MOUNT CLEMENS REGIONAL MEDICAL CENTER - (Acute Care)
    1000 HARRINGTON BLVD
    MOUNT CLEMENS, MI 48043
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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