Hanson, Tyler L

Hanson, Tyler L is an individual health care provider with primary practice located at 1104 W 8Th St , Yankton SD 57078-3306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hanson, Tyler L can be contacted via phone (605) 665-7841.

Contact Information

Primary practice address
1104 W 8Th St Yankton SD 57078-3306
Phone: (605) 665-7841
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7327 South Dakota

Profile Details

NPI number 1700800885
LBN Legal business name Hanson, Tyler L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 2nd, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700800885 NPPES
Minnesota MEDICAID 087988000

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