Konkin, Taylor A
Konkin, Taylor A is an individual health care provider with primary practice located at 131 Raley Blvd , Chico CA 95928-8347. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Konkin, Taylor A can be contacted via phone (530) 897-4500.Contact Information
Primary practice address
131 Raley Blvd
Chico CA 95928-8347
Phone: (530) 897-4500
Fax: (530) 897-4544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A97741 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A97741 | California |
Profile Details
| NPI number | 1386783884 |
|---|---|
| LBN Legal business name | Konkin, Taylor A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Oct 26th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386783884 | NPPES |
| California | MEDICAID | 00A977410 |
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