Wallen, Tyler John

Wallen, Tyler John is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Wallen, Tyler John can be contacted via phone (570) 808-6020.

Contact Information

Primary practice address
1000 E Mountain Blvd Wilkes Barre PA 18711-0027
Phone: (570) 808-6020
Fax: (570) 808-2306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X OS021217 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X OT014597 Pennsylvania

Profile Details

NPI number 1407122344
LBN Legal business name Wallen, Tyler John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Sep 13th, 2021 - about 3 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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