Pham, Taylor

Pham, Taylor is an individual health care provider with primary practice located at 368 W Washington St , East Peoria IL 61611-2036. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pham, Taylor can be contacted via phone (309) 694-4444.

Contact Information

Primary practice address
368 W Washington St East Peoria IL 61611-2036
Phone: (309) 694-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019032199 Illinois

Profile Details

NPI number 1124689138
LBN Legal business name Pham, Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2019
Last updated Jun 21st, 2019 - about 7 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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