Taylor, Martha A

Taylor, Martha A is an individual health care provider with primary practice located at 1263 Lake Plaza Dr Suite 230, Colorado Springs CO 80906-3564. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Taylor, Martha A can be contacted via phone (719) 776-3300.

Contact Information

Primary practice address
1263 Lake Plaza Dr Suite 230 Colorado Springs CO 80906-3564
Fax: (719) 776-3329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01066927A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X DR.0055744 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01066927A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55744 Colorado

Profile Details

NPI number 1306871090
LBN Legal business name Taylor, Martha A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 14th, 2017 - about 8 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 1306871090 NPPES
Indiana MEDICAID 201007900

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