Justin Paul Taylor

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Vinton, OH

NPI 1225601545 · NPPES record last updated Jul 23, 2021

Key facts

NPI
1225601545
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
750 Rowlesville Rd
Vinton, OH 45686-8838
Phone
(740) 612-7092
NPI assigned
Jul 23, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

750 Rowlesville Rd
Vinton, OH 45686-8838

Mailing address

750 Rowlesville Rd
Vinton, OH 45686-8838
Phone (740) 612-7092

Other providers in Vinton, OH

All providers in Vinton, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.