Clemmensen, Tyler Wilson

Clemmensen, Tyler Wilson is an individual health care provider with primary practice located at 625 19Th St S , Birmingham AL 35249. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Clemmensen, Tyler Wilson can be contacted via phone (205) 934-4303.

Contact Information

Primary practice address
625 19Th St S Birmingham AL 35249
Phone: (205) 934-4303
Fax: (205) 934-5499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35415 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 35415 Alabama

Profile Details

NPI number 1265852107
LBN Legal business name Clemmensen, Tyler Wilson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2014
Last updated May 1st, 2019 - about 5 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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