Johnson, Tyler
Johnson, Tyler is an sole proprietor health care provider with primary practice located at 15000 Cicero Ave Ste 100 , Oak Forest IL 60452-1480. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Johnson, Tyler can be contacted via phone (219) 315-0565.Contact Information
Primary practice address
15000 Cicero Ave Ste 100
Oak Forest IL 60452-1480
Phone: (219) 315-0565
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Nurse's Aide | 376K00000X | CNA1003930 | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 227022331 | Illinois |
Profile Details
NPI number | 1669195525 |
---|---|
LBN Legal business name | Johnson, Tyler |
Credentials | LMT, CCMA, CNA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 26th, 2022 |
Last updated | Sep 26th, 2022 - 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.
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