Taylor, Laurence Edward

Taylor, Laurence Edward is an sole proprietor health care provider with primary practice located at 94180 2Nd St , Gold Beach OR 97444-8733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Taylor, Laurence Edward can be contacted via phone (541) 247-7047.

Contact Information

Primary practice address
94180 2Nd St Gold Beach OR 97444-8733
Phone: (541) 247-7047
Fax: (541) 247-0123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO12821 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO12821 Oregon

Profile Details

NPI number 1598741902
LBN Legal business name Taylor, Laurence Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Apr 25th, 2011 - about 15 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 1598741902 NPPES
Oregon Other 1407812365 NBMC GROUP NPI NUMBER
Oregon Other CB3544 NBMC GROUP NPI NUMBER
Oregon MEDICAID 227421 NBMC GROUP NPI NUMBER
Oregon Other R0000WFBTV NBMC GROUP NPI NUMBER
Oregon Other 080167069 NBMC GROUP NPI NUMBER

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