Taylor, Jason Ivory

Taylor, Jason Ivory is an sole proprietor health care provider with primary practice located at 3333 E.Shelby Dr. , Memphis TN 38105-4510. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Taylor, Jason Ivory can be contacted via phone (901) 794-3690.

Contact Information

Primary practice address
3333 E.Shelby Dr. Memphis TN 38105-4510
Phone: (901) 794-3690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 0000014700 Tennessee

Profile Details

NPI number 1447537550
LBN Legal business name Taylor, Jason Ivory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2011
Last updated Nov 3rd, 2011 - about 13 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 1447537550 NPPES
Tennessee MEDICAID 4442531

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