Taylor, Wanda
Taylor, Wanda is an sole proprietor health care provider with primary practice located at 22605 Coverdale Rd , Seaford DE 19973-7044. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Taylor, Wanda can be contacted via phone (302) 573-1247.Contact Information
Primary practice address
22605 Coverdale Rd
Seaford DE 19973-7044
Phone: (302) 573-1247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X |
Profile Details
| NPI number | 1215531769 |
|---|---|
| LBN Legal business name | Taylor, Wanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2020 |
| Last updated | Nov 25th, 2020 - about 5 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 | 1215531769 | NPPES |
| Delaware | MEDICAID | 000000512 |
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