Tytko, James M

Tytko, James M is an individual health care provider with primary practice located at 2145 N Fairfield Rd Ste 100 , Beavercreek OH 45431-2783. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tytko, James M can be contacted via phone (937) 558-3900.

Contact Information

Primary practice address
2145 N Fairfield Rd Ste 100 Beavercreek OH 45431-2783
Phone: (937) 558-3900
Fax: (937) 558-3999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35046245 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35046245 Ohio

Profile Details

NPI number 1720071012
LBN Legal business name Tytko, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Nov 17th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720071012 NPPES
Ohio Other 080152126 MEDICARE RR
Ohio MEDICAID 0511986 MEDICARE RR

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