Tyler, John D.

Tyler, John D. is an individual health care provider with primary practice located at 2100 S Columbia Rd Ste 202, Grand Forks ND 58201-5895. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tyler, John D. can be contacted via phone (701) 772-1588.

Contact Information

Primary practice address
2100 S Columbia Rd Ste 202 Grand Forks ND 58201-5895
Phone: (701) 772-1588
Fax: (701) 746-6077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 37 North Dakota

Profile Details

NPI number 1699795872
LBN Legal business name Tyler, John D.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1699795872 NPPES
Other A006 TRICARE
Other 0005663645 TRICARE
Other 974701009768 TRICARE
Other TYL5227 TRICARE
Other 2H520TY TRICARE
MEDICAID 16979 TRICARE

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