Provider Demographics
NPI:1356550537
Name:TAYLOR, CHRISTOPHER B
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5798 MURRAY CIR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6750
Mailing Address - Country:US
Mailing Address - Phone:614-771-7739
Mailing Address - Fax:
Practice Address - Street 1:5798 MURRAY CIR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-6750
Practice Address - Country:US
Practice Address - Phone:614-771-7739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2501546Medicare ID - Type UnspecifiedNON AIDE PROVIDER