Haradon, Tyler
Haradon, Tyler is an individual health care provider with primary practice located at 685 Citadel Dr E Ste 200A , Colorado Springs CO 80909-5315. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Haradon, Tyler can be contacted via phone (719) 574-4867.Contact Information
Primary practice address
685 Citadel Dr E Ste 200A
Colorado Springs CO 80909-5315
Phone: (719) 574-4867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 204636 | Colorado |
Profile Details
| NPI number | 1972173706 |
|---|---|
| LBN Legal business name | Haradon, Tyler |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2021 |
| Last updated | Jun 24th, 2021 - about 3 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 | 1972173706 | NPPES |
| Other | 7195744867 | OTHER |
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