Taylor, Edward Blake

Taylor, Edward Blake is an individual health care provider with primary practice located at 600 University Ave Ste 2B , Fairbanks AK 99709-3651. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Taylor, Edward Blake can be contacted via phone (907) 929-5826.

Contact Information

Primary practice address
600 University Ave Ste 2B Fairbanks AK 99709-3651
Phone: (907) 929-5826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 1712359 Alaska

Profile Details

NPI number 1144062761
LBN Legal business name Taylor, Edward Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2024
Last updated Jun 12th, 2024 - about 6 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144062761 NPPES
Alaska MEDICAID 1712359

Popular Providers