Taylor, Mark Shannon
Taylor, Mark Shannon is an individual health care provider with primary practice located at 1960 Thompson Dr , Sedro Woolley WA 98284-5007. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Taylor, Mark Shannon can be contacted via phone (360) 856-3174.Contact Information
Primary practice address
1960 Thompson Dr
Sedro Woolley WA 98284-5007
Phone: (360) 856-3174
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | CAAR.CG.60943113 | Washington |
Profile Details
NPI number | 1548727258 |
---|---|
LBN Legal business name | Taylor, Mark Shannon |
Credentials | AAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2019 |
Last updated | Feb 28th, 2019 - 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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