Alicks, Tyler Joseph

Alicks, Tyler Joseph is an individual health care provider with primary practice located at 1633 Fillmore St Ste Gl1 , Denver CO 80206-1546. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Alicks, Tyler Joseph can be contacted via phone (303) 953-6600.

Contact Information

Primary practice address
1633 Fillmore St Ste Gl1 Denver CO 80206-1546
Phone: (303) 953-6600
Fax: (303) 781-4333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3259 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LB-0000216 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN.0990909-NP Colorado

Profile Details

NPI number 1063695013
LBN Legal business name Alicks, Tyler Joseph
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2007
Last updated Feb 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063695013 NPPES
South Carolina Other 7124 MEDICARE ID- TYPE UNSPECI
South Carolina MEDICAID 372048 MEDICARE ID- TYPE UNSPECI

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