Riddick, Tyler

Riddick, Tyler is an sole proprietor health care provider with primary practice located at 825 Delbon Ave , Turlock CA 95382-2016. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Riddick, Tyler can be contacted via phone (209) 664-2792.

Contact Information

Primary practice address
825 Delbon Ave Turlock CA 95382-2016
Phone: (209) 664-2792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95017329 California

Profile Details

NPI number 1598339681
LBN Legal business name Riddick, Tyler
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2021
Last updated May 13th, 2021 - 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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