Wagstaff, Tyler

Wagstaff, Tyler is an individual health care provider with primary practice located at 160 Heritage Way Ste 202 , Kalispell MT 59901-3127. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wagstaff, Tyler can be contacted via phone (406) 752-8433.

Contact Information

Primary practice address
160 Heritage Way Ste 202 Kalispell MT 59901-3127
Phone: (406) 752-8433
Fax: (406) 756-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1227 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MED-PAC-LIC-79860 Montana

Profile Details

NPI number 1205266053
LBN Legal business name Wagstaff, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2013
Last updated May 31st, 2023 - about 2 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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