Tanner, David A

Tanner, David A is an individual health care provider with primary practice located at 500 London Ave , Marysville OH 43040-5512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Tanner, David A can be contacted via phone (937) 578-2417.

Contact Information

Primary practice address
500 London Ave Marysville OH 43040-5512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 34006942 Ohio

Profile Details

NPI number 1447437280
LBN Legal business name Tanner, David A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Jun 26th, 2019 - about 6 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 1447437280 NPPES
Ohio MEDICAID 2091696

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