Taylor, Herbert Tyler
Taylor, Herbert Tyler is an sole proprietor health care provider with primary practice located at 3500 Trinity Dr Ste B3, Los Alamos NM 87544-2221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Taylor, Herbert Tyler can be contacted via phone (505) 661-2411.Contact Information
Primary practice address
3500 Trinity Dr Ste B3
Los Alamos NM 87544-2221
Phone: (505) 661-2411
Fax: (505) 662-7216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2000-298 | New Mexico |
Profile Details
| NPI number | 1477547586 |
|---|---|
| LBN Legal business name | Taylor, Herbert Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477547586 | NPPES |
| New Mexico | Other | 2000-298 | STATE PROFESSIONAL LICENS |
| New Mexico | Other | 206749 | STATE PROFESSIONAL LICENS |
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