Glenn, Tyler J

Glenn, Tyler J is an individual health care provider with primary practice located at 340 Hwy 138 , Crestline CA 92325. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Glenn, Tyler J can be contacted via phone (909) 336-3330.

Contact Information

Primary practice address
340 Hwy 138 Crestline CA 92325
Phone: (909) 336-3330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1518514322
LBN Legal business name Glenn, Tyler J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2019
Last updated May 7th, 2024 - about 7 months 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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