Provider Demographics
NPI:1780851410
Name:TAYLOR, BRETT (DC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 WESTHILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-1117
Mailing Address - Country:US
Mailing Address - Phone:410-761-7955
Mailing Address - Fax:410-761-3245
Practice Address - Street 1:337 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MARYLAND
Practice Address - Zip Code:21061
Practice Address - Country:UM
Practice Address - Phone:410-761-7955
Practice Address - Fax:410-761-3245
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor