Tabor, Richard J
Tabor, Richard J is an individual health care provider with primary practice located at 206 E Brown St , East Stroudsburg PA 18301-3006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tabor, Richard J can be contacted via phone (570) 476-3353.Contact Information
Primary practice address
206 E Brown St
East Stroudsburg PA 18301-3006
Phone: (570) 476-3353
Fax: (570) 420-2528
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD062513L | Pennsylvania |
Profile Details
NPI number | 1730138660 |
---|---|
LBN Legal business name | Tabor, Richard J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2006 |
Last updated | Mar 5th, 2008 - about 16 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 | 1730138660 | NPPES |
Pennsylvania | MEDICAID | 0016974180001 | |
Pennsylvania | Other | TA975621 |
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