Tabaac, Burton Jared
Tabaac, Burton Jared is an individual health care provider with primary practice located at 1155 Mill St , Reno NV 89502-1576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tabaac, Burton Jared can be contacted via phone (775) 982-7878.Contact Information
Primary practice address
1155 Mill St
Reno NV 89502-1576
Phone: (775) 982-7878
Fax: (775) 982-4196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A162959 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D84228 | Maryland |
Profile Details
| NPI number | 1295154219 |
|---|---|
| LBN Legal business name | Tabaac, Burton Jared |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2014 |
| Last updated | Mar 7th, 2023 - 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 | 1295154219 | NPPES |
| California | Other | A162959 | MEDICAL STATE LICENSE |
| California | Other | 14411782 | MEDICAL STATE LICENSE |
| California | Other | 18940 | MEDICAL STATE LICENSE |
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