Tabor, Roslyn M
Tabor, Roslyn M is an sole proprietor health care provider with primary practice located at 8044 Summa Ave Bldg 1 Suite A, Baton Rouge LA 70809-3411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tabor, Roslyn M can be contacted via phone (225) 757-8185.Contact Information
Primary practice address
8044 Summa Ave Bldg 1 Suite A
Baton Rouge LA 70809-3411
Phone: (225) 757-8185
Fax: (225) 757-8185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 017770 | Louisiana |
Profile Details
| NPI number | 1619945110 |
|---|---|
| LBN Legal business name | Tabor, Roslyn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 25th, 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 | 1619945110 | NPPES |
| Louisiana | MEDICAID | 1693294 |
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