Broome, Tyler John
Broome, Tyler John is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Paramedic, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Broome, Tyler John can be contacted via phone (203) 688-4242.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Paramedic | 146L00000X | M5036650 | |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6310 | Connecticut |
Profile Details
| NPI number | 1497538466 |
|---|---|
| LBN Legal business name | Broome, Tyler John |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2023 |
| Last updated | Oct 13th, 2023 - 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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