Minnich, Tyler Joel
Minnich, Tyler Joel is an sole proprietor health care provider with primary practice located at 7610 Roosevelt Rd , Forest Park IL 60130-2295. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Minnich, Tyler Joel can be contacted via phone (708) 366-9278.Contact Information
Primary practice address
7610 Roosevelt Rd
Forest Park IL 60130-2295
Phone: (708) 366-9278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.011753 | Illinois |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 046.011753 | Illinois |
Profile Details
| NPI number | 1760265912 |
|---|---|
| LBN Legal business name | Minnich, Tyler Joel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2023 |
| Last updated | Aug 14th, 2023 - 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.
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