Harrelson, Tyler

Harrelson, Tyler is an individual health care provider with primary practice located at 416 Old Smizer Mill Rd , Fenton MO 63026-3553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harrelson, Tyler can be contacted via phone (314) 467-1590.

Contact Information

Primary practice address
416 Old Smizer Mill Rd Fenton MO 63026-3553
Fax: (314) 275-4655
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2024002456 Missouri

Profile Details

NPI number 1417708223
LBN Legal business name Harrelson, Tyler
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2024
Last updated Mar 29th, 2024 - about 9 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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