Taliaferro, Henry Govan

Taliaferro, Henry Govan is an individual health care provider with primary practice located at 2516 Broadmoor Blvd , Monroe LA 71201-2988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Taliaferro, Henry Govan can be contacted via phone (318) 812-1125.

Contact Information

Primary practice address
2516 Broadmoor Blvd Monroe LA 71201-2988
Fax: (318) 812-1129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 012237 Louisiana

Profile Details

NPI number 1992844435
LBN Legal business name Taliaferro, Henry Govan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 13th, 2019 - about 5 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 1992844435 NPPES
Louisiana MEDICAID 1194972

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