MEDICARE: TARA LYNN FINKSTEIN D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	077869	IA
2	111N00000X	Chiropractor	5711	CO

General Provider Information

NPI Number	:	1497940068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA LYNN FINKSTEIN D.C

Provider Business Mailing Address
First Line	:	412 E OSKALOOSA ST
Second Line	:
City	:	PELLA
State	:	IA
Zip	:	50219-2208
Country	:	US
Telephone Number	:	641-820-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 E OSKALOOSA ST
Second Line	:
City	:	PELLA
State	:	IA
Zip	:	50219-2208
Country	:	US
Telephone Number	:	641-820-0151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	06/09/2020

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