Taylor, Philip W

Taylor, Philip W is an individual health care provider with primary practice located at 3250 Gordonville Rd Ste 301, Cape Girardeau MO 63703-5056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Taylor, Philip W can be contacted via phone (573) 334-9641.

Contact Information

Primary practice address
3250 Gordonville Rd Ste 301 Cape Girardeau MO 63703-5056
Fax: (573) 331-3120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X R5645 Missouri

Profile Details

NPI number 1053334797
LBN Legal business name Taylor, Philip W
Credentials M.D., FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 3rd, 2010 - about 15 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 1053334797 NPPES
Illinois MEDICAID 1053334797
Illinois Other 603522
Illinois Other 173594
Illinois MEDICAID 201877826
Illinois Other P00779931

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