Dewalt, Tyran

Dewalt, Tyran is an individual health care provider with primary practice located at 10510 La Grange Rd , Louisville KY 40223-1277. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty. Dewalt, Tyran can be contacted via phone (502) 589-8600.

Contact Information

Primary practice address
10510 La Grange Rd Louisville KY 40223-1277
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1720366933
LBN Legal business name Dewalt, Tyran
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2011
Last updated Jul 22nd, 2011 - about 14 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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