Antony, Tyler

Antony, Tyler is an sole proprietor health care provider with primary practice located at 11090 183Rd Cir Nw Ste C , Elk River MN 55330-2884. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Antony, Tyler can be contacted via phone (763) 777-1381.

Contact Information

Primary practice address
11090 183Rd Cir Nw Ste C Elk River MN 55330-2884
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1134998552
LBN Legal business name Antony, Tyler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2023
Last updated Dec 27th, 2023 - about 2 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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