Johnson, Tyler
Johnson, Tyler is an sole proprietor health care provider with primary practice located at 1715 Northfield Dr , Rochester Hills MI 48309-3819. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as his primary health care specialty. Johnson, Tyler can be contacted via phone (248) 293-2400.Contact Information
Primary practice address
1715 Northfield Dr
Rochester Hills MI 48309-3819
Phone: (248) 293-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X |
Profile Details
| NPI number | 1114499613 |
|---|---|
| LBN Legal business name | Johnson, Tyler |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2018 |
| Last updated | Dec 20th, 2018 - about 6 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 | 1114499613 | NPPES |
| Michigan | Other | 5201009026 | OCCUPATIONAL THERAPIST LICENSE |
| Michigan | Other | 13225 | OCCUPATIONAL THERAPIST LICENSE |
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