Jerry A Taylor Do Pc

LBN: Jerry A Taylor Do Pc
Jerry A Taylor Do Pc is an health care organization with primary practice located at 20905 Greenfield Rd Northland Medical Building Suite 602, Southfield MI 48075-5360. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as the primary health care specialty. Jerry A Taylor Do Pc can be contacted via phone (248) 569-0334, or through Taylor, Jerry Alan via phone (248) 569-0334.

Contact Information

Primary practice address
20905 Greenfield Rd Northland Medical Building Suite 602 Southfield MI 48075-5360
Phone: (248) 569-0334
Fax: (248) 569-0818
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Jerry Alan Doctor of Osteopathy (DO)
Phone: (248) 569-0334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X

Profile Details

NPI number 1831422419
LBN Legal business name Jerry A Taylor Do Pc
DBA Doing business as
Authorized official Taylor, Jerry Alan Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2009
Last updated Sep 14th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831422419 NPPES
Michigan MEDICAID 1065476-11

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