Taylor, Jerry Juergen
Taylor, Jerry Juergen is an individual health care provider with primary practice located at 1028 Lee Ann Dr Ne Suite 201, Concord NC 28025-2911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Taylor, Jerry Juergen can be contacted via phone (704) 782-1892.Contact Information
Primary practice address
1028 Lee Ann Dr Ne Suite 201
Concord NC 28025-2911
Phone: (704) 782-1892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 9601746 | North Carolina |
Profile Details
| NPI number | 1619925815 |
|---|---|
| LBN Legal business name | Taylor, Jerry Juergen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 26th, 2008 - about 17 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 | 1619925815 | NPPES |
| North Carolina | MEDICAID | 891014K | |
| North Carolina | MEDICAID | Q01746 | |
| North Carolina | Other | 1014K |
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