Nathe, Tyler J
Nathe, Tyler J is an individual health care provider with primary practice located at 510 8Th Ave Ne Ste 200 , Issaquah WA 98029-5436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Nathe, Tyler J can be contacted via phone (425) 392-3030.Contact Information
Primary practice address
510 8Th Ave Ne Ste 200
Issaquah WA 98029-5436
Phone: (425) 392-3030
Fax: (425) 392-2564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD60291180 | Washington |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD60291180 | Washington |
Profile Details
| NPI number | 1710166467 |
|---|---|
| LBN Legal business name | Nathe, Tyler J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Sep 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710166467 | NPPES |
| Washington | Other | 0298666 | LABOR AND INDUSTRIES |
| Washington | MEDICAID | 2021691 | LABOR AND INDUSTRIES |
| Washington | Other | P01152607 | LABOR AND INDUSTRIES |
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