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Contact Information

TARA BISSELL, L.AC.
SOURCE ON HIGH 518 E. HIGH STREET
LEXINGTON, KY40502
 Phone: 859-202-8841
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for TARA BISSELL · (Female)

NPI # 1104207885
Status Active
Credentials L.AC.
Entity Individual
Enumeration date 06/17/2015
Last updated 04/20/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # TAC90
Hospital affiliation(s) Not Available
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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