Taylor, Jerry

Taylor, Jerry is an individual health care provider with primary practice located at 452 W Market St , Xenia OH 45385-2815. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Taylor, Jerry can be contacted via phone (937) 376-8700.

Contact Information

Primary practice address
452 W Market St Xenia OH 45385-2815
Phone: (937) 376-8700
Fax: (937) 376-0184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 021296 Ohio

Profile Details

NPI number 1598954901
LBN Legal business name Taylor, Jerry
Credentials CCDC 1
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 19 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.

Request for update

Popular Providers