Bold, Tyler
Bold, Tyler is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Bold, Tyler can be contacted via phone (612) 672-7422.Contact Information
Primary practice address
909 Fulton St Se
Minneapolis MN 55455-4800
Phone: (612) 672-7422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 265066 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 64452 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 255586 | Massachusetts |
Profile Details
| NPI number | 1063850543 |
|---|---|
| LBN Legal business name | Bold, Tyler |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2013 |
| Last updated | Sep 18th, 2018 - about 6 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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