Taylor, Ira Scott
Taylor, Ira Scott is an individual health care provider with primary practice located at 150 S Mount Auburn Rd Suite 418, Cape Girardeau MO 63703-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Taylor, Ira Scott can be contacted via phone (573) 332-6000.Contact Information
Primary practice address
150 S Mount Auburn Rd Suite 418
Cape Girardeau MO 63703-4910
Phone: (573) 332-6000
Fax: (573) 332-6125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2002012699 | Missouri |
Profile Details
| NPI number | 1790770139 |
|---|---|
| LBN Legal business name | Taylor, Ira Scott |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 20th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790770139 | NPPES |
| Missouri | MEDICAID | 245822705 |
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