Taylor, Roger S.
Taylor, Roger S. is an sole proprietor health care provider with primary practice located at 59 Manchester Ave , Forked River NJ 08731-1359. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Taylor, Roger S. can be contacted via phone (609) 242-0007.Contact Information
Primary practice address
59 Manchester Ave
Forked River NJ 08731-1359
Phone: (609) 242-0007
Fax: (609) 247-0143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 25MD00200100 | New Jersey |
Profile Details
| NPI number | 1205827243 |
|---|---|
| LBN Legal business name | Taylor, Roger S. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Dec 9th, 2008 - about 18 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 | 1205827243 | NPPES |
| New Jersey | MEDICAID | 4837207 |
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