Tabin, Renae

Tabin, Renae is an individual health care provider with primary practice located at 569 32 Rd Ste 12 , Grand Junction CO 81504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tabin, Renae can be contacted via phone (970) 523-3544.

Contact Information

Primary practice address
569 32 Rd Ste 12 Grand Junction CO 81504
Phone: (970) 523-3544
Fax: (970) 434-3422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005322 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0002974 Colorado

Profile Details

NPI number 1467636787
LBN Legal business name Tabin, Renae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Jun 27th, 2018 - about 6 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 1467636787 NPPES
Colorado MEDICAID 95084517

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