Taylor, Funminiyi A

Taylor, Funminiyi A is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Taylor, Funminiyi A can be contacted via phone (601) 984-5306.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5306
Fax: (601) 984-6904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 24577 Mississippi

Profile Details

NPI number 1588649321
LBN Legal business name Taylor, Funminiyi A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Mar 21st, 2017 - about 7 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 1588649321 NPPES
Illinois MEDICAID 036136786
Illinois MEDICAID 06877361
Illinois MEDICAID 2971502
Illinois MEDICAID 756135100
Illinois MEDICAID 195545

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