Taylor, Jak G
Taylor, Jak G is an sole proprietor health care provider with primary practice located at 919 2Nd St Ne , Canton OH 44704-1132. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Taylor, Jak G can be contacted via phone (330) 454-7917.Contact Information
Primary practice address
919 2Nd St Ne
Canton OH 44704-1132
Phone: (330) 454-7917
Fax: (330) 454-1476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1689800138 |
|---|---|
| LBN Legal business name | Taylor, Jak G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2009 |
| Last updated | Jun 10th, 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 | 1689800138 | NPPES |
| Ohio | MEDICAID | 0290822 |
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