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
Phone: (405) 285-8477
Fax: (405) 285-8499
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 3112 | Oklahoma |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225016728 | NPPES |
Oklahoma | MEDICAID | 200054310A |
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