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 only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6996 Tennessee

Profile Details

NPI number 1942275896
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 Mar 27th, 2015 - about 9 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 1942275896 NPPES
Mississippi MEDICAID 07187860
Mississippi MEDICAID 3179854
Mississippi MEDICAID 3371161
Mississippi Other 4179726
Mississippi Other 4442032
Mississippi MEDICAID 120469
Mississippi Other 620819926
Mississippi Other P00624370
Mississippi Other 00000207490 08
Mississippi Other 4039349
Mississippi Other 620819926

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