Stevens, Tyler K
Stevens, Tyler K is an sole proprietor health care provider with primary practice located at 4095 Meadowbrook Blvd , University Heights OH 44118-3854. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Stevens, Tyler K can be contacted via phone (216) 371-4171.Contact Information
Primary practice address
4095 Meadowbrook Blvd
University Heights OH 44118-3854
Phone: (216) 371-4171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-081031 | Ohio |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 81031 | Ohio |
Profile Details
| NPI number | 1114904729 |
|---|---|
| LBN Legal business name | Stevens, Tyler K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Jun 13th, 2011 - about 13 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 | 1114904729 | NPPES |
| Ohio | MEDICAID | 2355768 | |
| Ohio | Other | 000000332717 |
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