Tabak, Jerry
Tabak, Jerry is an sole proprietor health care provider with primary practice located at 109 Church St Suite 105, O Fallon MO 63366-2894. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tabak, Jerry can be contacted via phone (636) 294-0015.Contact Information
Primary practice address
109 Church St Suite 105
O Fallon MO 63366-2894
Phone: (636) 294-0015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002217 | Missouri |
Profile Details
| NPI number | 1114276342 |
|---|---|
| LBN Legal business name | Tabak, Jerry |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2012 |
| Last updated | Sep 4th, 2012 - about 14 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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