Taylor, John Stafford
Taylor, John Stafford is an individual health care provider with primary practice located at 104 Mark Dr , Edenton NC 27932-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Taylor, John Stafford can be contacted via phone (252) 482-5171.Contact Information
Primary practice address
104 Mark Dr
Edenton NC 27932-1756
Phone: (252) 482-5171
Fax: (252) 482-5173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9601084 | North Carolina |
Profile Details
| NPI number | 1932198090 |
|---|---|
| LBN Legal business name | Taylor, John Stafford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Dec 16th, 2009 - about 16 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 | 1932198090 | NPPES |
| North Carolina | MEDICAID | 8982105 |
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