Talley, John David
Talley, John David is an sole proprietor health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4299. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Talley, John David can be contacted via phone (419) 473-3561.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | Florida | |
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 67.000420 | Ohio |
Profile Details
| NPI number | 1568919926 |
|---|---|
| LBN Legal business name | Talley, John David |
| Credentials | CAA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2016 |
| Last updated | Jan 9th, 2026 - about 9 months 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 | 1568919926 | NPPES |
| Ohio | MEDICAID | 0480476 |
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