Blair, Tyler

Blair, Tyler is an individual health care provider with primary practice located at 6 Oakwood Dr , Jacksonville IL 62650-3388. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Blair, Tyler can be contacted via phone (217) 473-8494.

Contact Information

Primary practice address
6 Oakwood Dr Jacksonville IL 62650-3388
Phone: (217) 473-8494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1376913715
LBN Legal business name Blair, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Jul 28th, 2016 - about 9 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.

Request for update

Popular Providers