Ditto, Shey Kyle
Ditto, Shey Kyle is an individual health care provider with primary practice located at 11615 Angus Rd Ste 106 , Austin TX 78759-4064. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Ditto, Shey Kyle can be contacted via phone (512) 436-9986.Contact Information
Primary practice address
11615 Angus Rd Ste 106
Austin TX 78759-4064
Phone: (512) 436-9986
Fax: (512) 436-8295
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | Q7861 | Texas |
Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | Q7861 | Texas |
Profile Details
NPI number | 1316387061 |
---|---|
LBN Legal business name | Ditto, Shey Kyle |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2013 |
Last updated | Feb 27th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316387061 | NPPES |
Texas | MEDICAID | 393647801 | |
Texas | Other | Q7861 |
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