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Contact Information

JACOB TARABOLOUS, DO
1 MT. CARMEL WAY
PITTSBURG, KS66762
 Phone: 620-231-6100
 Fax: 620-235-7913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JACOB TARABOLOUS · (Male)

NPI # 1255329819
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/07/2005
Last updated 01/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 05-32930
  • KS License # 0532950
  • MO License # 2002018397
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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