Tabert, Eileen M

Tabert, Eileen M is an individual health care provider with primary practice located at 544 W Umpqua St , Roseburg OR 97470. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tabert, Eileen M can be contacted via phone (541) 672-9596.

Contact Information

Primary practice address
544 W Umpqua St Roseburg OR 97470
Phone: (541) 672-9596
Fax: (541) 464-3519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Oregon

Profile Details

NPI number 1588750228
LBN Legal business name Tabert, Eileen M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 11th, 2008 - about 18 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 1588750228 NPPES
Oregon MEDICAID 168395
Oregon Other R03163

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