Shade, Tyler

Shade, Tyler is an sole proprietor health care provider with primary practice located at 905 Linney Ln # A , Shelby NC 28152-6411. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Shade, Tyler can be contacted via phone (980) 339-0927.

Contact Information

Primary practice address
905 Linney Ln # A Shelby NC 28152-6411
Phone: (980) 339-0927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1174117212
LBN Legal business name Shade, Tyler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2021
Last updated Mar 1st, 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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