Scott, Tyler Richard
Scott, Tyler Richard is an individual health care provider with primary practice located at 2900 State St Ste 101 , Medford OR 97504-8458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Scott, Tyler Richard can be contacted via phone (541) 789-5790.Contact Information
Primary practice address
2900 State St Ste 101
Medford OR 97504-8458
Phone: (541) 789-5790
Fax: (541) 789-5973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO219654 | Oregon |
Profile Details
| NPI number | 1366897365 |
|---|---|
| LBN Legal business name | Scott, Tyler Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2016 |
| Last updated | Jul 12th, 2024 - about last year |
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 | 1366897365 | NPPES |
| Other | 15144730 | CAQH |
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