Taylor, Mark
Taylor, Mark is an individual health care provider with primary practice located at 700 Shadow Ln. Suite 240, Las Vegas NV 89106-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Taylor, Mark can be contacted via phone (702) 384-0022.Contact Information
Primary practice address
700 Shadow Ln. Suite 240
Las Vegas NV 89106-4158
Phone: (702) 384-0022
Fax: (702) 384-0529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 10081 | Nevada |
Profile Details
| NPI number | 1821088857 |
|---|---|
| LBN Legal business name | Taylor, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821088857 | NPPES |
| Nevada | MEDICAID | 2018647 | |
| Nevada | MEDICAID | 20-18647 |
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