Tayloe, Jeff
Tayloe, Jeff is an individual health care provider with primary practice located at 4005 Oleander Dr , Wilmington NC 28403-6816. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Tayloe, Jeff can be contacted via phone (910) 790-9949.Contact Information
Primary practice address
4005 Oleander Dr
Wilmington NC 28403-6816
Phone: (910) 790-9949
Fax: (910) 790-9455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3408 | North Carolina |
Profile Details
| NPI number | 1447252515 |
|---|---|
| LBN Legal business name | Tayloe, Jeff |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1447252515 | NPPES |
| North Carolina | MEDICAID | 6102471 |
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