Taylor, Brent
Taylor, Brent is an individual health care provider with primary practice located at 2490 S Woodworth Loop Ste 400 , Palmer AK 99645-7411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Taylor, Brent can be contacted via phone (907) 745-9400.Contact Information
Primary practice address
2490 S Woodworth Loop Ste 400
Palmer AK 99645-7411
Phone: (907) 745-9400
Fax: (907) 745-9444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 3517 | Alaska |
Profile Details
| NPI number | 1770685000 |
|---|---|
| LBN Legal business name | Taylor, Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Nov 16th, 2010 - about 15 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 | 1770685000 | NPPES |
| Alaska | MEDICAID | 11791 |
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