Tyerman, Gayle Holderness
Tyerman, Gayle Holderness is an individual health care provider with primary practice located at 510 Cypress St Ste D , Fort Bragg CA 95437-5411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tyerman, Gayle Holderness can be contacted via phone (707) 357-1001.Contact Information
Primary practice address
510 Cypress St Ste D
Fort Bragg CA 95437-5411
Phone: (707) 357-1001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G43243 | California |
Profile Details
| NPI number | 1740225978 |
|---|---|
| LBN Legal business name | Tyerman, Gayle Holderness |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jun 20th, 2019 - about 6 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 | 1740225978 | NPPES |
| California | Other | 3116 | CCS |
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