Tyner, Troy Alan
Tyner, Troy Alan is an individual health care provider with primary practice located at 2510 Commons Blvd Suite 210, Beavercreek OH 45431-3820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tyner, Troy Alan can be contacted via phone (937) 429-0607.Contact Information
Primary practice address
2510 Commons Blvd Suite 210
Beavercreek OH 45431-3820
Phone: (937) 429-0607
Fax: (937) 558-3067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34004819T | Ohio |
Profile Details
| NPI number | 1003814526 |
|---|---|
| LBN Legal business name | Tyner, Troy Alan |
| Credentials | D.O.,F.A.C.O.I. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Feb 14th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003814526 | NPPES |
| Ohio | MEDICAID | 0855678 | |
| Ohio | Other | 000000016541 | |
| Ohio | Other | 110066031 | |
| Ohio | Other | 2128988 | |
| Ohio | Other | 311346460028 |
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