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Contact Information

STEPHANIE J TAGUE
801 28TH AVE N
CLINTON, IA52732-1955
 Phone: 563-243-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
 

Home Health Aide

374U00000X
 

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE J TAGUE · (Female)

NPI # 1578049490
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2018
Last updated 04/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001311
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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