Ellington, Tyler Gregory

Ellington, Tyler Gregory is an individual health care provider with primary practice located at 10512 N 110Th East Ave , Owasso OK 74055-6636. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ellington, Tyler Gregory can be contacted via phone (918) 592-0999.

Contact Information

Primary practice address
10512 N 110Th East Ave Owasso OK 74055-6636
Phone: (918) 592-0999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10049312 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 6866 Oklahoma

Profile Details

NPI number 1326468224
LBN Legal business name Ellington, Tyler Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2014
Last updated Aug 1st, 2020 - about 6 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.

Request for update

Popular Providers