Pomeroy, Tyler Emerson

Pomeroy, Tyler Emerson is an individual health care provider with primary practice located at 1410 Fretz Dr , Edmond OK 73003-5782. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pomeroy, Tyler Emerson can be contacted via phone (405) 285-8477.

Contact Information

Primary practice address
1410 Fretz Dr Edmond OK 73003-5782
Fax: (405) 285-8499
Website:

Health care specialties

Profile Details

NPI number 1225016728
LBN Legal business name Pomeroy, Tyler Emerson
Credentials MSPT, OCS, FAAOMPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated May 20th, 2008 - about 16 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 1225016728 NPPES
Oklahoma MEDICAID 200054310A

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