Taylor, Gary Lee

Taylor, Gary Lee is an individual health care provider with primary practice located at 900 Illinois Ave , Stevens Point WI 54481-3114. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Taylor, Gary Lee can be contacted via phone (715) 346-5000.

Contact Information

Primary practice address
900 Illinois Ave Stevens Point WI 54481-3114
Phone: (715) 346-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 132736-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3375 Wisconsin

Profile Details

NPI number 1043275241
LBN Legal business name Taylor, Gary Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jun 7th, 2012 - about 12 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 1043275241 NPPES
Wisconsin Other 3375 WI STATE LICENSE
Wisconsin Other 132736-30 WI STATE LICENSE

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