Kidman, Tyler Dee
Kidman, Tyler Dee is an individual health care provider with primary practice located at 111 Tower Dr Bldg 1 , San Antonio TX 78232-3625. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Kidman, Tyler Dee can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
111 Tower Dr Bldg 1
San Antonio TX 78232-3625
Phone: (800) 404-6050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 14923 | Texas |
Profile Details
| NPI number | 1750043089 |
|---|---|
| LBN Legal business name | Kidman, Tyler Dee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2021 |
| Last updated | Nov 15th, 2022 - about 2 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 | 1750043089 | NPPES |
| Texas | Other | 14923 | CHIROPRACTIC LICENSE |
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