Tyler, Sarah Louise
Tyler, Sarah Louise is an individual health care provider with primary practice located at 324 Flanders Rd , East Lyme CT 06333-1735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tyler, Sarah Louise can be contacted via phone (860) 739-6953.Contact Information
Primary practice address
324 Flanders Rd
East Lyme CT 06333-1735
Phone: (860) 739-6953
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 005499 | Connecticut |
Profile Details
| NPI number | 1003241100 |
|---|---|
| LBN Legal business name | Tyler, Sarah Louise |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2013 |
| Last updated | Mar 8th, 2019 - about 5 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 | 1003241100 | NPPES |
| Connecticut | Other | 008056168 | MEDICAID 352 STATE STREET |
| Connecticut | Other | 008039745 | MEDICAID 352 STATE STREET |
| Connecticut | Other | 008056033 | MEDICAID 352 STATE STREET |
| Connecticut | Other | 004217099 | MEDICAID 352 STATE STREET |
| Connecticut | Other | 008056867 | MEDICAID 352 STATE STREET |
| Connecticut | Other | WEAZY13 | MEDICAID 352 STATE STREET |
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