Taylor, Mark
Taylor, Mark is an individual health care provider with primary practice located at 1215 Duff Ave , Ames IA 50010-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Taylor, Mark can be contacted via phone (515) 239-4725.Contact Information
Primary practice address
1215 Duff Ave
Ames IA 50010-3014
Phone: (515) 239-4725
Fax: (515) 956-4130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28035 | Iowa |
Profile Details
| NPI number | 1669453924 |
|---|---|
| LBN Legal business name | Taylor, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Oct 11th, 2022 - about 4 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 | 1669453924 | NPPES |
| Iowa | MEDICAID | 0071761 |
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