Miller, Tytrick

Miller, Tytrick is an individual health care provider with primary practice located at 2301 W Bradley Ave , Champaign IL 61821-1849. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Miller, Tytrick can be contacted via phone (574) 387-4313.

Contact Information

Primary practice address
2301 W Bradley Ave Champaign IL 61821-1849
Phone: (574) 387-4313
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1376380436
LBN Legal business name Miller, Tytrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2024
Last updated Jul 15th, 2024 - 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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