Noble, Tyler Scott

Noble, Tyler Scott is an individual health care provider with primary practice located at 2376 Cypress Cir Ste 300 , Conway SC 29526-8995. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Noble, Tyler Scott can be contacted via phone (843) 353-3460.

Contact Information

Primary practice address
2376 Cypress Cir Ste 300 Conway SC 29526-8995
Phone: (843) 353-3460
Fax: (843) 353-3461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OS13810 Florida
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 39926 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OT014290 Pennsylvania

Profile Details

NPI number 1093004350
LBN Legal business name Noble, Tyler Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2011
Last updated Jul 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093004350 NPPES
Florida MEDICAID 017374400
Florida Other OT014290
Florida Other S4WBP
Florida MEDICAID 399269

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