Raben-Taylor, Susan L

Raben-Taylor, Susan L is an individual health care provider with primary practice located at 525 N Garland Ave , Fayetteville AR 72701-3110. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Raben-Taylor, Susan L can be contacted via phone (479) 582-1755.

Contact Information

Primary practice address
525 N Garland Ave Fayetteville AR 72701-3110
Phone: (479) 582-1755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X N-7882 Arkansas
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X N-7882 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N-7882 Arkansas

Profile Details

NPI number 1780613489
LBN Legal business name Raben-Taylor, Susan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780613489 NPPES
Arkansas Other 12990 QUALCHOICE INSURANCE ID#

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