Taylor, Stanford Connolly
Taylor, Stanford Connolly is an individual health care provider with primary practice located at 2770 N Union Blvd Ste 140 , Colorado Springs CO 80909-1183. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Taylor, Stanford Connolly can be contacted via phone (719) 473-9595.Contact Information
Primary practice address
2770 N Union Blvd Ste 140
Colorado Springs CO 80909-1183
Phone: (719) 473-9595
Fax: (719) 227-0669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD182284 | Oregon |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | DR.0061712 | Colorado |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | DR.0061712 | Colorado |
Profile Details
| NPI number | 1013250240 |
|---|---|
| LBN Legal business name | Taylor, Stanford Connolly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2013 |
| Last updated | Mar 30th, 2022 - about 3 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 | 1013250240 | NPPES |
| Colorado | MEDICAID | 1013250240 |
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