Clontz, Tyler Ray
Clontz, Tyler Ray is an sole proprietor health care provider with primary practice located at 1 Elizabeth Pl Ste 111 , Dayton OH 45417-3445. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Clontz, Tyler Ray can be contacted via phone (937) 520-4800.Contact Information
Primary practice address
1 Elizabeth Pl Ste 111
Dayton OH 45417-3445
Phone: (937) 520-4800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | Ohio | |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 183256 | Ohio |
Profile Details
NPI number | 1962118612 |
---|---|
LBN Legal business name | Clontz, Tyler Ray |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 26th, 2023 |
Last updated | Jun 27th, 2024 - about last year |
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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