Taylor, Mark L
Taylor, Mark L is an sole proprietor health care provider with primary practice located at 308 East Downing Street , Tahlequah OK 74464-4603. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Taylor, Mark L can be contacted via phone (918) 506-4012.Contact Information
Primary practice address
308 East Downing Street
Tahlequah OK 74464-4603
Phone: (918) 506-4012
Fax: (918) 506-4013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3556 | Oklahoma |
Profile Details
| NPI number | 1295852887 |
|---|---|
| LBN Legal business name | Taylor, Mark L |
| Credentials | MS LPC NCC NCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jan 16th, 2013 - about 13 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 | 1295852887 | NPPES |
| Oklahoma | MEDICAID | 100734620H | |
| Oklahoma | MEDICAID | 200053340B |
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