Willson, Tyler James

Willson, Tyler James is an individual health care provider with primary practice located at 933 E Pierce St , Council Bluffs IA 51503-4626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Willson, Tyler James can be contacted via phone (712) 396-4360.

Contact Information

Primary practice address
933 E Pierce St Council Bluffs IA 51503-4626
Phone: (712) 396-4360
Fax: (712) 396-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-41201 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD-41201 Iowa

Profile Details

NPI number 1407167620
LBN Legal business name Willson, Tyler James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Sep 8th, 2017 - about 7 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 1407167620 NPPES
Iowa MEDICAID 1407167620
Iowa MEDICAID 10026327300

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