MEDICARE: DENNIS L TAYLOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	E3004	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568486660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS L TAYLOR

Provider Business Mailing Address
First Line	:	578 RIO LINDO AVE
Second Line	:	SUITE 4
City	:	CHICO
State	:	CA
Zip	:	95926-1800
Country	:	US
Telephone Number	:	530-894-6195
Fax Number	:	530-894-6199

Provider Business Practice Location Address
First Line	:	578 RIO LINDO AVE
Second Line	:	SUITE 4
City	:	CHICO
State	:	CA
Zip	:	95926-1800
Country	:	US
Telephone Number	:	530-894-6195
Fax Number	:	530-894-6199

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/30/2012

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Practice Location Address:

578 RIO LINDO AVE STE 4
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1356533285 — MR. CLIFFORD LOREN JACOBSON JR. MFT
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1871778506 — LAURIE LINDA TAYLOR
Practice Location Address:

578 RIO LINDO AVE , SUITE 3
CHICO, CA
95926-1800

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1316125750 — MRS. GWIN RICHTER RN
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578 RIO LINDO AVE , SUITE #1
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95926-1800

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1770724825 — MRS. PATRICIA ANN PEARSON
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CHICO, CA
95926-1800

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Directions to “ DENNIS L TAYLOR ” Practice Location

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