Osgood, Tyler J

Osgood, Tyler J is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. He recently has only one registered license in Pharmacy Service Providers / Pediatrics, which is considered as his primary health care specialty. Osgood, Tyler J can be contacted via phone (208) 381-2490.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-2490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pediatrics 1835P0200X P7069 Idaho

Profile Details

NPI number 1932749181
LBN Legal business name Osgood, Tyler J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2020
Last updated Jan 15th, 2020 - about 4 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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