Gonzalez, Tyler Aaron
Gonzalez, Tyler Aaron is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 200 , Columbia SC 29203-6882. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Gonzalez, Tyler Aaron can be contacted via phone (803) 296-7846.Contact Information
Primary practice address
14 Richland Medical Park Dr Ste 200
Columbia SC 29203-6882
Phone: (803) 296-7846
Fax: (803) 296-9699
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 252622 | Massachusetts |
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 83210 | South Carolina |
Profile Details
NPI number | 1750644290 |
---|---|
LBN Legal business name | Gonzalez, Tyler Aaron |
Credentials | M.D., M.B.A. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2012 |
Last updated | Apr 27th, 2022 - 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 | 1750644290 | NPPES |
South Carolina | MEDICAID | 832102 |
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