Tidwell, Tyson Jensen

Tidwell, Tyson Jensen is an individual health care provider with primary practice located at 454 E Medical Way , Heber City UT 84032-1391. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Tidwell, Tyson Jensen can be contacted via phone (435) 657-4400.

Contact Information

Primary practice address
454 E Medical Way Heber City UT 84032-1391
Phone: (435) 657-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R0967 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 007623 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11271416-1204 Utah

Profile Details

NPI number 1215347463
LBN Legal business name Tidwell, Tyson Jensen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2014
Last updated Apr 26th, 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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