Taylor, Mark David
Taylor, Mark David is an sole proprietor health care provider with primary practice located at 24833 John T Reid Pkwy , Scottsboro AL 35768-2342. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Taylor, Mark David can be contacted via phone (256) 574-5698.Contact Information
Primary practice address
24833 John T Reid Pkwy
Scottsboro AL 35768-2342
Phone: (256) 574-5698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | R-229-TA-987 | Alabama |
Profile Details
| NPI number | 1801027552 |
|---|---|
| LBN Legal business name | Taylor, Mark David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2009 |
| Last updated | Apr 10th, 2022 - about 3 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 | 1801027552 | NPPES |
| Alabama | MEDICAID | 171716 |
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