Taylor, Juanita
Taylor, Juanita is an individual health care provider with primary practice located at 6501 N Charles St , Baltimore MD 21204-6819. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Taylor, Juanita can be contacted via phone (410) 938-3000.Contact Information
Primary practice address
6501 N Charles St
Baltimore MD 21204-6819
Phone: (410) 938-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2084P0005X | C-6218 | Arkansas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD442910 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D74977 | Maryland |
Profile Details
| NPI number | 1255421822 |
|---|---|
| LBN Legal business name | Taylor, Juanita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Dec 6th, 2012 - about 12 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 | 1255421822 | NPPES |
| Arkansas | MEDICAID | 118897001 |
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