Taylor, Tom Roy

Taylor, Tom Roy is an individual health care provider with primary practice located at 1370 S State St Ste B , San Jacinto CA 92583-4922. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Taylor, Tom Roy can be contacted via phone (951) 791-3596.

Contact Information

Primary practice address
1370 S State St Ste B San Jacinto CA 92583-4922
Phone: (951) 791-3596
Fax: (951) 791-3397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1275193591
LBN Legal business name Taylor, Tom Roy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2019
Last updated Jun 18th, 2019 - about 6 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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