Gaylord, Tyra Denee
Gaylord, Tyra Denee is an individual health care provider with primary practice located at 615 N Michigan St , South Bend IN 46601-1033. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gaylord, Tyra Denee can be contacted via phone (574) 647-1000.Contact Information
Primary practice address
615 N Michigan St
South Bend IN 46601-1033
Phone: (574) 647-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01042658A | Indiana |
Profile Details
| NPI number | 1093925307 |
|---|---|
| LBN Legal business name | Gaylord, Tyra Denee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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