Taylor, Waller L
Taylor, Waller L is an individual health care provider with primary practice located at 1821 Old Donation Parkway Suite 1, Virginia Beach VA 23454-3033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Taylor, Waller L can be contacted via phone (757) 481-6954.Contact Information
Primary practice address
1821 Old Donation Parkway Suite 1
Virginia Beach VA 23454-3033
Phone: (757) 481-6954
Fax: (757) 481-1965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101018250 | Virginia |
Profile Details
| NPI number | 1437260809 |
|---|---|
| LBN Legal business name | Taylor, Waller L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1437260809 | NPPES |
| North Carolina | MEDICAID | 890616R | |
| North Carolina | Other | 918190 | |
| North Carolina | Other | 1099195 | |
| North Carolina | Other | 77473 | |
| North Carolina | Other | 065727 | |
| North Carolina | Other | 6212000 |
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