Boone, R Tyler

Boone, R Tyler is an individual health care provider with primary practice located at 2488 E 81St St Ste 290 , Tulsa OK 74137-4265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Boone, R Tyler can be contacted via phone (918) 494-2665.

Contact Information

Primary practice address
2488 E 81St St Ste 290 Tulsa OK 74137-4265
Fax: (918) 927-3201
Website:

Health care specialties

Profile Details

NPI number 1710987938
LBN Legal business name Boone, R Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 19th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710987938 NPPES
Oklahoma MEDICAID 100112560A

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