Tvedten, Ty L
Tvedten, Ty L is an individual health care provider with primary practice located at 12020 Seminole Blvd , Largo FL 33778-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tvedten, Ty L can be contacted via phone (727) 588-9572.Contact Information
Primary practice address
12020 Seminole Blvd
Largo FL 33778-2805
Phone: (727) 588-9572
Fax: (727) 584-3832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS6788 | Florida |
Profile Details
| NPI number | 1285626382 |
|---|---|
| LBN Legal business name | Tvedten, Ty L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285626382 | NPPES |
| Florida | Other | 80960 | BLUE CROSS |
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