Brolin, Tyler James

Brolin, Tyler James is an individual health care provider with primary practice located at 1458 W Poplar Ave Ste 100 , Collierville TN 38017-0630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brolin, Tyler James can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
1458 W Poplar Ave Ste 100 Collierville TN 38017-0630
Fax: (901) 759-3196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24906 Mississippi
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD457009 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 55799 Tennessee

Profile Details

NPI number 1053601591
LBN Legal business name Brolin, Tyler James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2011
Last updated Oct 5th, 2022 - about 2 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 1053601591 NPPES
Arkansas MEDICAID 221116001
Arkansas MEDICAID 100220409
Arkansas MEDICAID Q029821
Arkansas MEDICAID 005234353
Arkansas MEDICAID 05234353

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