person
Dr. Theodore W Taber, DC
Chiropractor in Bowie, Maryland
NPI 1154322659

Theodore W Taber is a Chiropractor based in Bowie, MD. Theodore W Taber practices in Bowie, MD and has the professional credentials of DC. The NPI Number for Theodore W Taber is 1154322659 and holds a License No. S01943 (Maryland).

The current practice location address for Theodore W Taber is 14300 Gallant Fox Ln, Bowie, MD and can be reached out via phone at 301-352-4500 and via fax at 301-352-6510.

Location: 14300 Gallant Fox Ln, Bowie, MD, 20715-4003
person
Provider Profile Details
NPI Number
1154322659
Provider Name
Theodore W Taber
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
14300 Gallant Fox Ln, Bowie, MD, 20715-4003
Phone Number
301-352-4500
Fax Number
301-352-6510
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S2410002 01 DC CAREFIRST BC/BS
LR25TA 01 MD CAREFIRST BCBS OF MD
287087 01 MD MAMSI PROVIDER NUMBER
60608903 01 MD CAREFIRST BCBS OF MD REG#
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
301-352-6510
person
Provider Business Mailing Address Details
Address
14300 Gallant Fox Ln
City
State
Zip
20715-4003
Phone Number
301-352-4500
Fax Number
301-352-6510
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
S01943 (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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