Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
TARA JEAN EASTIN
Active
Individual
TARA JEAN EASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101017326
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
DO034313
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO034313
LICENSE
DC
01
—
TE017326
MI LICENSE
MI
Enumeration date
06/29/2007
Last updated
11/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up