Tanner, Edward James

Tanner, Edward James is an individual health care provider with primary practice located at 5275 Loughboro Rd Nw Bldg D , Washington DC 20016-2633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Tanner, Edward James can be contacted via phone (202) 243-5295.

Contact Information

Primary practice address
5275 Loughboro Rd Nw Bldg D Washington DC 20016-2633
Phone: (202) 243-5295
Fax: (202) 537-4662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X D74316 Maryland
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD500002320 District of Columbia
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 247219 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 036147391 Illinois

Profile Details

NPI number 1013059781
LBN Legal business name Tanner, Edward James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated May 1st, 2024 - about 2 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 1013059781 NPPES
Maryland MEDICAID 056633100

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