Craft, Tyler Cisco

Craft, Tyler Cisco is an individual health care provider with primary practice located at 2701 W I 44 Service Rd , Oklahoma City OK 73112-3775. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Craft, Tyler Cisco can be contacted via phone (866) 848-7555.

Contact Information

Primary practice address
2701 W I 44 Service Rd Oklahoma City OK 73112-3775
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1740033398
LBN Legal business name Craft, Tyler Cisco
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2024
Last updated Apr 11th, 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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