Taber, Theodore W

Taber, Theodore W is an individual health care provider with primary practice located at 14300 Gallant Fox Ln Suite 201, Bowie MD 20715-4003. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Taber, Theodore W can be contacted via phone (301) 352-4500.

Contact Information

Primary practice address
14300 Gallant Fox Ln Suite 201 Bowie MD 20715-4003
Phone: (301) 352-4500
Fax: (301) 352-6510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X S01943 Maryland

Profile Details

NPI number 1154322659
LBN Legal business name Taber, Theodore W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 14th, 2010 - about 16 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 1154322659 NPPES
District of Columbia Other S2410002 CAREFIRST BC/BS
District of Columbia Other LR25TA CAREFIRST BC/BS
District of Columbia Other 287087 CAREFIRST BC/BS
District of Columbia Other 60608903 CAREFIRST BC/BS
District of Columbia Other 522247005 CAREFIRST BC/BS

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