Provider Demographics
NPI:1326882150
Name:TAYLOR, VIVIAN (QBHS)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:QBHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 SCHROCK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1165
Mailing Address - Country:US
Mailing Address - Phone:614-228-5200
Mailing Address - Fax:
Practice Address - Street 1:1105 SCHROCK RD STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1165
Practice Address - Country:US
Practice Address - Phone:614-228-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management