Tabbert, William G
Tabbert, William G is an sole proprietor health care provider with primary practice located at 1125 Ellen Kay Dr Ste E, Marion OH 43302-6358. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Tabbert, William G can be contacted via phone (740) 387-2274.Contact Information
Primary practice address
1125 Ellen Kay Dr Ste E
Marion OH 43302-6358
Phone: (740) 387-2274
Fax: (740) 382-0600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 2025 | Ohio |
Profile Details
| NPI number | 1770587404 |
|---|---|
| LBN Legal business name | Tabbert, William G |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | May 29th, 2008 - about 16 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 | 1770587404 | NPPES |
| Ohio | Other | 000000118247 | ANTHEM BLUE CROSS |
| Ohio | MEDICAID | 0464831 | ANTHEM BLUE CROSS |
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