Taylor, Rachael Evonne
Taylor, Rachael Evonne is an individual health care provider with primary practice located at 1126 S Gold St , Centralia WA 98531-3768. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Taylor, Rachael Evonne can be contacted via phone (360) 807-4929.Contact Information
Primary practice address
1126 S Gold St
Centralia WA 98531-3768
Phone: (360) 807-4929
Fax: (360) 807-4160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | CG61044237 | Washington |
Profile Details
| NPI number | 1932717030 |
|---|---|
| LBN Legal business name | Taylor, Rachael Evonne |
| Credentials | CPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2020 |
| Last updated | Sep 18th, 2023 - about 2 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 | 1932717030 | NPPES |
| Washington | MEDICAID | 2160940 |
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