Evans, Tyler Blair

Evans, Tyler Blair is an sole proprietor health care provider with primary practice located at 250 Quail Ridge Rd , Scotts Valley CA 95066-4821. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Evans, Tyler Blair can be contacted via phone (408) 341-9606.

Contact Information

Primary practice address
250 Quail Ridge Rd Scotts Valley CA 95066-4821
Phone: (408) 341-9606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R72287 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 262216 New York
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 262216-1 New York
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X A148240 California

Profile Details

NPI number 1912227125
LBN Legal business name Evans, Tyler Blair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2010
Last updated Feb 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912227125 NPPES
New York MEDICAID 00695941

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