Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DS0000009142 | TN |
NPI | 1053601443 |
---|---|
Provider Name | Dr. Miriam Helen Habeeb |
First Address | Murfreesboro, TN 37129-2579 |
Second Address | Murfreesboro, TN 37129-2579 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 19/04/2011 |