Taylor, Gary

Taylor, Gary is an sole proprietor health care provider with primary practice located at 9587 E Cactus Ranch Rd , Hereford AZ 85615-8005. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Taylor, Gary can be contacted via phone (520) 366-5262.

Contact Information

Primary practice address
9587 E Cactus Ranch Rd Hereford AZ 85615-8005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X Arizona

Profile Details

NPI number 1104070226
LBN Legal business name Taylor, Gary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2008
Last updated Jul 21st, 2022 - about 3 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 1104070226 NPPES
Arizona MEDICAID 0000000000

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