Tan, Gubert Lee
Tan, Gubert Lee is an individual health care provider with primary practice located at 222 Marion Ave , Mansfield OH 44903-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tan, Gubert Lee can be contacted via phone (419) 526-1964.Contact Information
Primary practice address
222 Marion Ave
Mansfield OH 44903-2138
Phone: (419) 526-1964
Fax: (419) 526-0012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036088453 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35074660 | Ohio |
Profile Details
| NPI number | 1285621490 |
|---|---|
| LBN Legal business name | Tan, Gubert Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Jan 25th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285621490 | NPPES |
| Ohio | MEDICAID | 2072813 |
Popular Providers
-
Kutsikovich, Gary R
8224 Mentor Ave Ste 126, Mentor OH 44060-5768 -
Kazi, Amer M.
6915 N Fir Rd , Granger IN 46530-4754 -
Hershkowitz, Leonard
7500 Beechnut St Ste 135, Houston TX 77074-4335 -
Shaheid, Nishad Mohamed
335 Glessner Ave Fl Mob2 , Mansfield OH 44903-2269 -
Hall, Scott
1305 Airport Fwy Ste 205, Bedford TX 76021-6606 -
Huffnagle, Vera H
758 Highway 46 S , Dickson TN 37055-2556 -
Rorick, Mark B
13170 Ravenna Rd Ste 102 , Chardon OH 44024-7022 -
Leung, Patrick K
1401 Harrodsburg Rd Ste C225, Lexington KY 40504-3751