Adams, Tabatha Mann
Adams, Tabatha Mann is an sole proprietor health care provider with primary practice located at 1508 Oxford Dr , Georgetown KY 40324-9266. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Adams, Tabatha Mann can be contacted via phone (502) 863-0880.Contact Information
Primary practice address
1508 Oxford Dr
Georgetown KY 40324-9266
Phone: (502) 863-0880
Fax: (502) 867-7363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7216 | Kentucky |
Profile Details
| NPI number | 1619014701 |
|---|---|
| LBN Legal business name | Adams, Tabatha Mann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Mar 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619014701 | NPPES |
| Kentucky | MEDICAID | 60072162 |
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