Provider Demographics
NPI:1588772941
Name:TAYLOR, E. RALPH III (DC)
Entity type:Individual
Prefix:DR
First Name:E.
Middle Name:RALPH
Last Name:TAYLOR
Suffix:III
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 1:24 TEMPO RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-1502
Mailing Address - Country:US
Mailing Address - Phone:215-946-5947
Mailing Address - Fax:
Practice Address - Street 1:50 TRENTON RD STE A
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2734
Practice Address - Country:US
Practice Address - Phone:215-949-2933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006454L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor