Tabor, Owen B.
Tabor, Owen B. is an individual health care provider with primary practice located at 1244 Primacy Pkwy , Memphis TN 38119-0201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Tabor, Owen B. can be contacted via phone (901) 767-8662.Contact Information
Primary practice address
1244 Primacy Pkwy
Memphis TN 38119-0201
Phone: (901) 767-8662
Fax: (901) 259-2785
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 31462 | Tennessee |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 31462 | Tennessee |
Profile Details
NPI number | 1346215209 |
---|---|
LBN Legal business name | Tabor, Owen B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | Apr 2nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346215209 | NPPES |
Tennessee | Other | 4179728 | BCBS |
Tennessee | Other | 7468367 | BCBS |
Tennessee | Other | 620819926 | BCBS |
Tennessee | Other | 620819926 | BCBS |
Tennessee | Other | 31462 | BCBS |
Tennessee | Other | 9675413 | BCBS |
Tennessee | Other | P00620731 | BCBS |
Tennessee | Other | 00001906041 05 | BCBS |
Tennessee | MEDICAID | 3371161 | BCBS |
Tennessee | Other | 2031 | BCBS |
Tennessee | MEDICAID | 3839229 | BCBS |
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