Taylor, John W
Taylor, John W is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Taylor, John W can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
835 S Van Buren St
Green Bay WI 54301-3526
Phone: (920) 496-4700
Fax: (920) 433-8569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27338-21 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 27338-21 | Wisconsin |
Profile Details
| NPI number | 1841253077 |
|---|---|
| LBN Legal business name | Taylor, John W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Mar 21st, 2024 - about 8 months 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 | 1841253077 | NPPES |
| Wisconsin | MEDICAID | 30023300 |
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