Individual
DR. THEODORE W TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14300 GALLANT FOX LN, SUITE 201, BOWIE, MD 20715-4003
(301) 352-4500
(301) 352-6510
Mailing address
14300 GALLANT FOX LN, SUITE 201, BOWIE, MD 20715-4003
(301) 352-4500
(301) 352-6510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01943
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287087
MAMSI PROVIDER NUMBER
MD
01
—
522247005
FEDERAL TAX ID
—
01
—
60608903
CAREFIRST BCBS OF MD REG#
MD
01
—
LR25TA
CAREFIRST BCBS OF MD
MD
01
—
S2410002
CAREFIRST BC/BS
DC
Enumeration date
08/09/2005
Last updated
05/14/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us