Medeiros, Taylor W

Medeiros, Taylor W is an individual health care provider with primary practice located at 3900 St Francis Way Ste 200 , Lafayette IN 47905-4940. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Medeiros, Taylor W can be contacted via phone (765) 502-4000.

Contact Information

Primary practice address
3900 St Francis Way Ste 200 Lafayette IN 47905-4940
Phone: (765) 502-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085.008218 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10004033A Indiana

Profile Details

NPI number 1457936213
LBN Legal business name Medeiros, Taylor W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2021
Last updated Nov 7th, 2023 - about 3 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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