Black, Tyler Paul

Black, Tyler Paul is an sole proprietor health care provider with primary practice located at 2301 Erwin Rd , Durham NC 27705-4699. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Black, Tyler Paul can be contacted via phone (919) 684-3491.

Contact Information

Primary practice address
2301 Erwin Rd Durham NC 27705-4699
Phone: (919) 684-3491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 33244 Alabama

Profile Details

NPI number 1669762761
LBN Legal business name Black, Tyler Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2011
Last updated Jun 3rd, 2017 - about 8 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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