Taylor, Mark Allen

Taylor, Mark Allen is an individual health care provider with primary practice located at 5905 34Th Ave S , Minneapolis MN 55450-2900. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Taylor, Mark Allen can be contacted via phone (612) 713-4849.

Contact Information

Primary practice address
5905 34Th Ave S Minneapolis MN 55450-2900
Phone: (612) 713-4849
Fax: (612) 713-4644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1174738793
LBN Legal business name Taylor, Mark Allen
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jan 30th, 2008 - 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.

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