Manivannan, Taylor M.

Manivannan, Taylor M. is an individual health care provider with primary practice located at 2200 Wabash Ave , Springfield IL 62704-5352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Manivannan, Taylor M. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
2200 Wabash Ave Springfield IL 62704-5352
Phone: (217) 528-7541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005629 Illinois

Profile Details

NPI number 1568832137
LBN Legal business name Manivannan, Taylor M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2015
Last updated Dec 3rd, 2020 - 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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