Eleazar, Jordyn Taylor

Eleazar, Jordyn Taylor is an sole proprietor health care provider with primary practice located at 204 Hazelwood Dr , South San Francisco CA 94080-5805. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Eleazar, Jordyn Taylor can be contacted via phone (650) 201-5597.

Contact Information

Primary practice address
204 Hazelwood Dr South San Francisco CA 94080-5805
Phone: (650) 201-5597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1710570833
LBN Legal business name Eleazar, Jordyn Taylor
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2021
Last updated Feb 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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