Taylor, Gary
Taylor, Gary is an sole proprietor health care provider with primary practice located at 9587 E Cactus Ranch Rd , Hereford AZ 85615-8005. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Taylor, Gary can be contacted via phone (520) 366-5262.Contact Information
Primary practice address
9587 E Cactus Ranch Rd
Hereford AZ 85615-8005
Phone: (520) 366-5262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Arizona |
Profile Details
| NPI number | 1104070226 |
|---|---|
| LBN Legal business name | Taylor, Gary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2008 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104070226 | NPPES |
| Arizona | MEDICAID | 0000000000 |
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