Taylor, Timothy J

Taylor, Timothy J is an individual health care provider with primary practice located at 2700 23Rd St Ste C, Spirit Lake IA 51360-1158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Taylor, Timothy J can be contacted via phone (712) 336-3750.

Contact Information

Primary practice address
2700 23Rd St Ste C Spirit Lake IA 51360-1158
Phone: (712) 336-3750
Fax: (712) 336-3730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02963 Iowa

Profile Details

NPI number 1285604728
LBN Legal business name Taylor, Timothy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 15th, 2011 - about 13 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 1285604728 NPPES
Iowa MEDICAID 1125104

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