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
Fax: (425) 392-2564
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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