Glendrange, Tyler Mason
Glendrange, Tyler Mason is an individual health care provider with primary practice located at 6905 Harris Ave Bldg. 6905, Kailua HI 96734. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Glendrange, Tyler Mason can be contacted via phone (808) 257-3365.Contact Information
Primary practice address
6905 Harris Ave Bldg. 6905
Kailua HI 96734
Phone: (808) 257-3365
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101279636 | Virginia |
Profile Details
| NPI number | 1720731623 |
|---|---|
| LBN Legal business name | Glendrange, Tyler Mason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2022 |
| Last updated | Mar 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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