Taggard, Derek Allan
Taggard, Derek Allan is an individual health care provider with primary practice located at 45 E River Park Pl W Ste 104 , Fresno CA 93720-1565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Taggard, Derek Allan can be contacted via phone (559) 320-0530.Contact Information
Primary practice address
45 E River Park Pl W Ste 104
Fresno CA 93720-1565
Phone: (559) 320-0530
Fax: (559) 320-0532
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | A80229 | California |
Profile Details
NPI number | 1548242589 |
---|---|
LBN Legal business name | Taggard, Derek Allan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | Nov 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548242589 | NPPES |
California | MEDICAID | 00A802290 |
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