Holt, Tyler

Holt, Tyler is an individual health care provider with primary practice located at 827 Lamar Alexander Pkwy , Maryville TN 37804. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Holt, Tyler can be contacted via phone (865) 984-0900.

Contact Information

Primary practice address
827 Lamar Alexander Pkwy Maryville TN 37804
Phone: (865) 984-0900
Fax: (865) 984-1035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2771 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2771 Tennessee

Profile Details

NPI number 1336521079
LBN Legal business name Holt, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2015
Last updated Oct 4th, 2016 - about 8 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 1336521079 NPPES
Tennessee Other 6047756 BLUECROSS BLUESHIELD
Tennessee MEDICAID Q019368 BLUECROSS BLUESHIELD

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