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
Fax: (901) 259-2785
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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