Tyler, Michelle Diane

Tyler, Michelle Diane is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc Department Of Pediatrics, Lebanon NH 03756. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Tyler, Michelle Diane can be contacted via phone (603) 653-9850.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc Department Of Pediatrics Lebanon NH 03756
Phone: (603) 653-9850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16197 New Hampshire
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 16197 New Hampshire

Profile Details

NPI number 1124344502
LBN Legal business name Tyler, Michelle Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2010
Last updated May 22nd, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124344502 NPPES
Vermont MEDICAID 1021949
Vermont MEDICAID 3086958

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