Tabor, Roslyn M

Tabor, Roslyn M is an sole proprietor health care provider with primary practice located at 8044 Summa Ave Bldg 1 Suite A, Baton Rouge LA 70809-3411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tabor, Roslyn M can be contacted via phone (225) 757-8185.

Contact Information

Primary practice address
8044 Summa Ave Bldg 1 Suite A Baton Rouge LA 70809-3411
Phone: (225) 757-8185
Fax: (225) 757-8185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 017770 Louisiana

Profile Details

NPI number 1619945110
LBN Legal business name Tabor, Roslyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Mar 25th, 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 1619945110 NPPES
Louisiana MEDICAID 1693294

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