Taylor, Mark P

Taylor, Mark P is an individual health care provider with primary practice located at 1230 E Main St Mankato Clinic @ Main Street, Mankato MN 56001-5066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Taylor, Mark P can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato Clinic @ Main Street Mankato MN 56001-5066
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28590 Minnesota

Profile Details

NPI number 1720067655
LBN Legal business name Taylor, Mark P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 15th, 2020 - about 5 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 1720067655 NPPES
Other 410849339 56001 C028 CHAMPUS
MEDICAID 337385100 CHAMPUS
Other 160025572 CHAMPUS
Other 1652118 CHAMPUS
Other 115554 CHAMPUS
MEDICAID 928549 CHAMPUS
Other HP25870 CHAMPUS
Other 0702740 CHAMPUS
Other NA2951023863 CHAMPUS
Other 49433TA CHAMPUS

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