Tabor, Charles Paul

Tabor, Charles Paul is an individual health care provider with primary practice located at 1601 Golf Course Rd , Grand Rapids MN 55744-8648. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tabor, Charles Paul can be contacted via phone (218) 999-1911.

Contact Information

Primary practice address
1601 Golf Course Rd Grand Rapids MN 55744-8648
Phone: (218) 999-1911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 64365 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1740719640 Minnesota

Profile Details

NPI number 1740719640
LBN Legal business name Tabor, Charles Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2017
Last updated Nov 12th, 2021 - about 5 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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