Coleman, Wyche Taylor

Coleman, Wyche Taylor is an individual health care provider with primary practice located at 2530 Bert Kouns Industrial Loop Ste 116 , Shreveport LA 71118-3153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Coleman, Wyche Taylor can be contacted via phone (318) 212-5901.

Contact Information

Primary practice address
2530 Bert Kouns Industrial Loop Ste 116 Shreveport LA 71118-3153
Phone: (318) 212-5901
Fax: (318) 212-5905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD.203333 Louisiana

Profile Details

NPI number 1841491826
LBN Legal business name Coleman, Wyche Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jun 22nd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841491826 NPPES
Louisiana MEDICAID 09976

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