Taylor, Amy Marlinda

Taylor, Amy Marlinda is an individual health care provider with primary practice located at 549 Fair Street , Bloomsburg PA 17815-2204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Taylor, Amy Marlinda can be contacted via phone (570) 387-2111.

Contact Information

Primary practice address
549 Fair Street Bloomsburg PA 17815-2204
Phone: (570) 387-2111
Fax: (570) 387-2245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD420942 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01057161A Indiana

Profile Details

NPI number 1396778544
LBN Legal business name Taylor, Amy Marlinda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Oct 28th, 2014 - about 11 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 1396778544 NPPES
Pennsylvania MEDICAID 101426964

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