Taylor, Jonathan

Taylor, Jonathan is an individual health care provider with primary practice located at 385 Southbridge St , Auburn MA 01501-2498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Taylor, Jonathan can be contacted via phone (508) 425-5446.

Contact Information

Primary practice address
385 Southbridge St Auburn MA 01501-2498
Fax: (508) 425-5951
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 155015 Massachusetts

Profile Details

NPI number 1205800158
LBN Legal business name Taylor, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated May 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205800158 NPPES
Massachusetts MEDICAID 110059806A

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