Blanco, Taylor Wade
Blanco, Taylor Wade is an sole proprietor health care provider with primary practice located at 7555 S Center View Ct Ste 101 , West Jordan UT 84084-1970. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blanco, Taylor Wade can be contacted via phone (801) 566-5683.Contact Information
Primary practice address
7555 S Center View Ct Ste 101
West Jordan UT 84084-1970
Phone: (801) 566-5683
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9822611-9934 | Utah |
Profile Details
| NPI number | 1114376746 |
|---|---|
| LBN Legal business name | Blanco, Taylor Wade |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2016 |
| Last updated | Jan 4th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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