Taber, Tim E
Taber, Tim E is an individual health care provider with primary practice located at 550 University Blvd Suite 4620, Indianapolis IN 46202-5149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Taber, Tim E can be contacted via phone (317) 948-0505.Contact Information
Primary practice address
550 University Blvd Suite 4620
Indianapolis IN 46202-5149
Phone: (317) 948-0505
Fax: (317) 948-3268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01031282 | Indiana |
Profile Details
| NPI number | 1104823509 |
|---|---|
| LBN Legal business name | Taber, Tim E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Nov 19th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104823509 | NPPES |
| Indiana | MEDICAID | 100193100 | |
| Indiana | Other | 000000083030 |
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