Taylor, Jared Ross
Taylor, Jared Ross is an individual health care provider with primary practice located at 1100 Wilford Hall Loop , Jbsa Lackland TX 78236. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Taylor, Jared Ross can be contacted via phone (210) 292-4774.Contact Information
Primary practice address
1100 Wilford Hall Loop
Jbsa Lackland TX 78236
Phone: (210) 292-4774
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | FNP-363LF0000X | Nevada |
Profile Details
| NPI number | 1033359369 |
|---|---|
| LBN Legal business name | Taylor, Jared Ross |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2009 |
| Last updated | Jun 20th, 2018 - about 6 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 | 1033359369 | NPPES |
| Arizona | Other | 4378 | ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS |
| Arizona | Other | CS22548 | ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS |
| Arizona | MEDICAID | 414670 | ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS |
| Arizona | Other | PA1142 | ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS |
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