Burcham, Tyler
Burcham, Tyler is an individual health care provider with primary practice located at 3170 43Rd St S Suite 101, Fargo ND 58104-8908. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Other Service Providers / Specialist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Burcham, Tyler can be contacted via phone (701) 277-8448.Contact Information
Primary practice address
3170 43Rd St S Suite 101
Fargo ND 58104-8908
Phone: (701) 277-8448
Fax: (701) 277-8668
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1738 | North Dakota |
Other Service Providers / Specialist | 174400000X | PT2542 | Idaho |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-2542 | Idaho |
Profile Details
NPI number | 1912138231 |
---|---|
LBN Legal business name | Burcham, Tyler |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2009 |
Last updated | Jun 6th, 2013 - about 11 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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