Tyler, John Mark

Tyler, John Mark is an individual health care provider with primary practice located at 2502 25Th St , Columbus IN 47201-3728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tyler, John Mark can be contacted via phone (812) 375-3906.

Contact Information

Primary practice address
2502 25Th St Columbus IN 47201-3728
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21550 South Carolina

Profile Details

NPI number 1447218797
LBN Legal business name Tyler, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 21st, 2022 - about 2 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 1447218797 NPPES
South Carolina MEDICAID 215501

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