Taylor, Randolph H

Taylor, Randolph H is an individual health care provider with primary practice located at 102 Thomas Road Suite117, West Monroe LA 71291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Taylor, Randolph H can be contacted via phone (319) 329-8194.

Contact Information

Primary practice address
102 Thomas Road Suite117 West Monroe LA 71291
Phone: (319) 329-8194
Fax: (318) 329-8196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 013943 Louisiana

Profile Details

NPI number 1902801962
LBN Legal business name Taylor, Randolph H
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 11th, 2014 - about 12 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 1902801962 NPPES
Louisiana Other H09001 VANTAGE HEALTH PLAN,INC
Louisiana MEDICAID 1330744 VANTAGE HEALTH PLAN,INC

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