Brown, Tyler Robert
Brown, Tyler Robert is an individual health care provider with primary practice located at 414 Doctors Ct , Oshkosh WI 54901-2065. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brown, Tyler Robert can be contacted via phone (920) 303-5100.Contact Information
Primary practice address
414 Doctors Ct
Oshkosh WI 54901-2065
Phone: (920) 303-5100
Fax: (920) 303-5151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4026-057 | Wisconsin |
Profile Details
| NPI number | 1467129890 |
|---|---|
| LBN Legal business name | Brown, Tyler Robert |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Dec 5th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467129890 | NPPES |
| Wisconsin | MEDICAID | 100184112 |
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