Tyler, Jennifer

Tyler, Jennifer is an sole proprietor health care provider with primary practice located at 10735 Kenai Spur Hwy # 2B , Kenai AK 99611-7859. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tyler, Jennifer can be contacted via phone (907) 283-9947.

Contact Information

Primary practice address
10735 Kenai Spur Hwy # 2B Kenai AK 99611-7859
Phone: (907) 283-9947
Fax: (907) 283-9949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1025263 Alaska
Other Service Providers / Specialist 174400000X 1023805 Alaska

Profile Details

NPI number 1366819930
LBN Legal business name Tyler, Jennifer
Credentials M.S., CDC-1, ICCTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2015
Last updated Aug 30th, 2015 - about 11 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 1366819930 NPPES
Alaska Other 1025263 STATE OF AK
Alaska Other 1023805 STATE OF AK

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