Taylor, Eric N

Taylor, Eric N is an individual health care provider with primary practice located at 1600B Congress St , Portland ME 04102-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Taylor, Eric N can be contacted via phone (207) 774-5222.

Contact Information

Primary practice address
1600B Congress St Portland ME 04102-2124
Phone: (207) 774-5222
Fax: (207) 761-4433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 018207 Maine

Profile Details

NPI number 1780776724
LBN Legal business name Taylor, Eric N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 5th, 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 1780776724 NPPES
Massachusetts MEDICAID 9782834
Massachusetts Other 4431601
Massachusetts Other J28568
Massachusetts Other 470183
Massachusetts Other 4431604
Massachusetts Other AA45527
Massachusetts Other 0036404

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