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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114904729 NPPES
Ohio MEDICAID 2355768
Ohio Other 000000332717

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