Ice, Tyler Akira
Ice, Tyler Akira is an individual health care provider with primary practice located at 4300 E Flamingo Ave , Nampa ID 83687-3138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ice, Tyler Akira can be contacted via phone (714) 318-0439.Contact Information
Primary practice address
4300 E Flamingo Ave
Nampa ID 83687-3138
Phone: (714) 318-0439
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M-17236 | Idaho |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M-17236 | Idaho |
Profile Details
| NPI number | 1659900736 |
|---|---|
| LBN Legal business name | Ice, Tyler Akira |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2020 |
| Last updated | Nov 3rd, 2023 - about last year |
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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