Taylor, Jon Q

Taylor, Jon Q is an individual health care provider with primary practice located at 801 5Th St , Sioux City IA 51101-1394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Taylor, Jon Q can be contacted via phone (308) 647-4900.

Contact Information

Primary practice address
801 5Th St Sioux City IA 51101-1394
Phone: (308) 647-4900
Fax: (308) 647-5378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21319 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12892 Nebraska

Profile Details

NPI number 1699734806
LBN Legal business name Taylor, Jon Q
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699734806 NPPES
South Dakota MEDICAID 7796252
South Dakota MEDICAID 1081638

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