Terry, Tyler

Terry, Tyler is an individual health care provider with primary practice located at 3402 Battleground Ave , Greensboro NC 27410-2578. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Terry, Tyler can be contacted via phone (336) 883-0029.

Contact Information

Primary practice address
3402 Battleground Ave Greensboro NC 27410-2578
Phone: (336) 883-0029
Fax: (336) 883-0867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5011884 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 5011884 North Carolina

Profile Details

NPI number 1467012054
LBN Legal business name Terry, Tyler
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2019
Last updated Apr 22nd, 2022 - about 3 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 1467012054 NPPES
North Carolina Other 5011884 NC MEDICAL BOARD

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