Casey, Tyler L

Casey, Tyler L is an individual health care provider with primary practice located at 6000 University Ave Suite 201, West Des Moines IA 50266-8203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Casey, Tyler L can be contacted via phone (515) 241-2400.

Contact Information

Primary practice address
6000 University Ave Suite 201 West Des Moines IA 50266-8203
Phone: (515) 241-2400
Fax: (515) 241-2401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35930 Iowa

Profile Details

NPI number 1750368817
LBN Legal business name Casey, Tyler L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated May 22nd, 2012 - about 12 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 1750368817 NPPES
Iowa Other P00250716 RR MEDCARE
Iowa MEDICAID 0467290 RR MEDCARE
Iowa MEDICAID 1467290 RR MEDCARE
Iowa MEDICAID 1750368817 RR MEDCARE

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