Corkum, Tyler James

Corkum, Tyler James is an individual health care provider with primary practice located at 120 Banjo Ln , Centreville MD 21617-1002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Corkum, Tyler James can be contacted via phone (410) 758-2211.

Contact Information

Primary practice address
120 Banjo Ln Centreville MD 21617-1002
Phone: (410) 758-2211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R217257 Maryland

Profile Details

NPI number 1285125062
LBN Legal business name Corkum, Tyler James
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2018
Last updated May 23rd, 2024 - about 2 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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