Taylor, Bernard G
Taylor, Bernard G is an individual health care provider with primary practice located at 132 E Mossville Rd , Peoria IL 61615-9793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Taylor, Bernard G can be contacted via phone (309) 645-8588.Contact Information
Primary practice address
132 E Mossville Rd
Peoria IL 61615-9793
Phone: (309) 645-8588
Fax: (309) 579-3011
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036-053087 | Illinois |
Profile Details
NPI number | 1558334557 |
---|---|
LBN Legal business name | Taylor, Bernard G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Mar 11th, 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 | 1558334557 | NPPES |
Illinois | MEDICAID | 036053087 | |
Illinois | Other | 7215156 | |
Illinois | Other | IL2005002 |
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