Taylor, Trent Allen

Taylor, Trent Allen is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Taylor, Trent Allen can be contacted via phone (573) 632-5000.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2004001486 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30533 Tennessee

Profile Details

NPI number 1518935626
LBN Legal business name Taylor, Trent Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1518935626 NPPES
Tennessee Other 3126225 BLUE CROSS
Tennessee Other 3136126 BLUE CROSS
Tennessee MEDICAID 3829747 BLUE CROSS
Tennessee MEDICAID 3829746 BLUE CROSS
Tennessee MEDICAID 3829745 BLUE CROSS
Tennessee Other 3095825 BLUE CROSS

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