Bold, Tyler

Bold, Tyler is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Bold, Tyler can be contacted via phone (612) 672-7422.

Contact Information

Primary practice address
909 Fulton St Se Minneapolis MN 55455-4800
Phone: (612) 672-7422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 265066 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 64452 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 255586 Massachusetts

Profile Details

NPI number 1063850543
LBN Legal business name Bold, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2013
Last updated Sep 18th, 2018 - about 8 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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