Jeffers, Tabatha L.

Jeffers, Tabatha L. is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jeffers, Tabatha L. can be contacted via phone (814) 375-6470.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Fax: (814) 375-3472
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS-010759-L Pennsylvania

Profile Details

NPI number 1326058629
LBN Legal business name Jeffers, Tabatha L.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jan 28th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326058629 NPPES
Pennsylvania Other 001608234 HIGHMARK BLUE CROSS
Pennsylvania MEDICAID 0019508010002 HIGHMARK BLUE CROSS

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