Individual
DR. BRETT D. TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1301 W JOURDAN ST, NEWTON, IL 62448-2000
(618) 783-5900
(618) 783-3113
Mailing address
1301 W JOURDAN ST, NEWTON, IL 62448-2000
(618) 783-5900
(618) 783-3113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037-1368797
TAX ID NUMBER
IL
01
—
4022138
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
10/25/2006
Last updated
07/08/2007
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