Beranek, Tyler

Beranek, Tyler is an individual health care provider with primary practice located at 3400 Union Ave , Sheboygan WI 53081-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Beranek, Tyler can be contacted via phone (902) 802-8426.

Contact Information

Primary practice address
3400 Union Ave Sheboygan WI 53081-8426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R5360 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101021182 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 74098 Wisconsin

Profile Details

NPI number 1134532435
LBN Legal business name Beranek, Tyler
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2014
Last updated Oct 6th, 2023 - about last year

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 1134532435 NPPES
Wisconsin MEDICAID 100110855

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