Tabulov, Deborah M

Tabulov, Deborah M is an individual health care provider with primary practice located at 33664 Bayview Medical Dr Unit 2 , Lewes DE 19958-1687. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tabulov, Deborah M can be contacted via phone (302) 644-4954.

Contact Information

Primary practice address
33664 Bayview Medical Dr Unit 2 Lewes DE 19958-1687
Phone: (302) 644-4954
Fax: (302) 645-5481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R137151 Maryland

Profile Details

NPI number 1497786131
LBN Legal business name Tabulov, Deborah M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated May 27th, 2020 - about 5 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 1497786131 NPPES
Maryland MEDICAID 062503500

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