DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUSTIN TABOR

MEDICARE:   JUSTIN  TABOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.169507OH

General Provider Information

NPI Number : 1942711551
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN TABOR
Provider Business Mailing Address
First Line : 1724 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2269
Country : US
Telephone Number : 740-442-7143
Fax Number :
Provider Business Practice Location Address
First Line : 1724 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2269
Country : US
Telephone Number : 740-442-7143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 06/05/2024

Similar Medicare Providers

1811729593 — JOSEPH DAVIS CDCA
Practice Location Address:
1724 S 3RD ST
IRONTON, OH
45638-2269
Practice Phone: 740-523-0043
Practice Fax: 740-523-0030
1043146087 — WILLIAM WOLFE CMS
Practice Location Address:
1724 S 3RD ST
IRONTON, OH
45638-2269
Practice Phone: 740-442-7143
Practice Fax: 740-442-7145
1346662277 — LISA CORDLE
Practice Location Address:
1708 S 3RD ST
IRONTON, OH
45638-2269
Practice Phone: 740-414-0999
Practice Fax:
1629581442 — DAVID HILL CDCA
Practice Location Address:
1724 S 3RD ST
IRONTON, OH
45638-2269
Practice Phone: 740-479-5135
Practice Fax:
1821596370 — CHERI LEE EVANS CDCA
Practice Location Address:
1724 S 3RD ST
IRONTON, OH
45638-2269
Practice Phone: 740-479-5135
Practice Fax:
1609350974 — SHAWN A BOYD CMS
Practice Location Address:
1724 S 3RD ST
IRONTON, OH
45638-2269
Practice Phone: 740-442-7143
Practice Fax: 740-442-7145

Directions to “ JUSTIN TABOR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.