Wayment, Tyler R
Wayment, Tyler R is an individual health care provider with primary practice located at 738 N College Rd Suite A, Twin Falls ID 83301-3385. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Wayment, Tyler R can be contacted via phone (208) 814-7000.Contact Information
Primary practice address
738 N College Rd Suite A
Twin Falls ID 83301-3385
Phone: (208) 814-7000
Fax: (208) 734-7294
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | M9557 | Idaho |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | M9557 | Idaho |
Profile Details
NPI number | 1669423539 |
---|---|
LBN Legal business name | Wayment, Tyler R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Jan 2nd, 2015 - about 9 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 | 1669423539 | NPPES |
Idaho | MEDICAID | 807460000 | |
Idaho | Other | P00721156 |
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