Taylor, Mark

Taylor, Mark is an individual health care provider with primary practice located at 700 Shadow Ln. Suite 240, Las Vegas NV 89106-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Taylor, Mark can be contacted via phone (702) 384-0022.

Contact Information

Primary practice address
700 Shadow Ln. Suite 240 Las Vegas NV 89106-4158
Phone: (702) 384-0022
Fax: (702) 384-0529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10081 Nevada

Profile Details

NPI number 1821088857
LBN Legal business name Taylor, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Mar 23rd, 2011 - about 14 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 1821088857 NPPES
Nevada MEDICAID 2018647
Nevada MEDICAID 20-18647

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