Taylor, Timothy Osborn
Taylor, Timothy Osborn is an sole proprietor health care provider with primary practice located at 2330 Coronado St , Idaho Falls ID 83404-7407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Taylor, Timothy Osborn can be contacted via phone (208) 552-1234.Contact Information
Primary practice address
2330 Coronado St
Idaho Falls ID 83404-7407
Phone: (208) 552-1234
Fax: (208) 522-9580
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | M5782 | Idaho |
Profile Details
NPI number | 1033121322 |
---|---|
LBN Legal business name | Taylor, Timothy Osborn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 13th, 2006 |
Last updated | Jan 15th, 2012 - about 12 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 | 1033121322 | NPPES |
Idaho | Other | DI379 | BLUE CROSS |
Idaho | Other | 000012701 | BLUE CROSS |
Idaho | MEDICAID | 804289600 | BLUE CROSS |
Idaho | Other | 0004082 | BLUE CROSS |
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