Tytle, Timothy Lawrence
Tytle, Timothy Lawrence is an individual health care provider with primary practice located at 4625 S Western Ave , Oklahoma City OK 73109-3831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Tytle, Timothy Lawrence can be contacted via phone (405) 632-2323.Contact Information
Primary practice address
4625 S Western Ave
Oklahoma City OK 73109-3831
Phone: (405) 632-2323
Fax: (405) 631-9315
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 11480 | Oklahoma |
Profile Details
NPI number | 1639137953 |
---|---|
LBN Legal business name | Tytle, Timothy Lawrence |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Mar 24th, 2008 - about 17 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 | 1639137953 | NPPES |
Oklahoma | MEDICAID | 100213590B |
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