Couch, Taylor R

Couch, Taylor R is an individual health care provider with primary practice located at 310 2Nd Ave Sw , Miami OK 74354-6743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Couch, Taylor R can be contacted via phone (918) 542-6611.

Contact Information

Primary practice address
310 2Nd Ave Sw Miami OK 74354-6743
Fax: (918) 619-4334
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31423 Oklahoma

Profile Details

NPI number 1548656945
LBN Legal business name Couch, Taylor R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2015
Last updated Jan 19th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548656945 NPPES
Oklahoma MEDICAID 200590370B

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