Tabila, Edgar Vincent

Tabila, Edgar Vincent is an sole proprietor health care provider with primary practice located at 27450 Schoenherr Rd Suite 400, Warren MI 48088-6683. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Tabila, Edgar Vincent can be contacted via phone (586) 582-7550.

Contact Information

Primary practice address
27450 Schoenherr Rd Suite 400 Warren MI 48088-6683
Phone: (586) 582-7550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A18381 California

Profile Details

NPI number 1841528346
LBN Legal business name Tabila, Edgar Vincent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2009
Last updated Dec 7th, 2021 - about 3 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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