person
Dr. Diane L Taber, DC
Chiropractor in Bowie, Maryland
NPI 1154322626

Diane L Taber is a Chiropractor based in Bowie, MD. Diane L Taber practices in Bowie, MD and has the professional credentials of DC. The NPI Number for Diane L Taber is 1154322626 and holds a License No. S01944 (Maryland).

The current practice location address for Diane L Taber is 14300 Gallant Fox Ln, Bowie, MD and can be reached out via phone at 301-352-4500.

Location: 14300 Gallant Fox Ln, Bowie, MD, 20715-4003
person
Provider Profile Details
NPI Number
1154322626
Provider Name
Diane L Taber
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
14300 Gallant Fox Ln, Bowie, MD, 20715-4003
Phone Number
301-352-4500
Fax Number
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LR25TA 01 MD CAREFIRST BCBS OF MD
287091 01 MD MAMSI ID
60608803 01 MD CAREFIRST MD REGION #
S2410001 01 DC CAREFIRST BC/BS
522247005 01 FEDERAL TAX ID
institution
Provider Business Practice Location Address Details
Address
14300 Gallant Fox Ln
City
State
Zip
20715-4003
Phone Number
301-352-4500
Fax Number
person
Provider Business Mailing Address Details
Address
14300 Gallant Fox Ln
City
State
Zip
20715-4003
Phone Number
301-352-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
S01944 (Maryland)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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