SearchOhio101YA0400X

Jack Tabor Jr

NPI 1962337329 · on the registry since 2026 · sole proprietor

Practice

Address
1913 Emerson Ave
Dayton, OH 45406
Phone
(937) 313-8290

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio