Taber, Andrew J

Taber, Andrew J is an individual health care provider with primary practice located at 2223 Lime Kiln Rd , Green Bay WI 54311-6213. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Taber, Andrew J can be contacted via phone (920) 560-1147.

Contact Information

Primary practice address
2223 Lime Kiln Rd Green Bay WI 54311-6213
Phone: (920) 560-1147
Fax: (920) 560-1197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10026 Wisconsin

Profile Details

NPI number 1457336992
LBN Legal business name Taber, Andrew J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Nov 26th, 2021 - about 4 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 1457336992 NPPES
Wisconsin Other 10026-024 LICENSE

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