Gonzalez, Tyler Aaron

Gonzalez, Tyler Aaron is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 200 , Columbia SC 29203-6882. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Gonzalez, Tyler Aaron can be contacted via phone (803) 296-7846.

Contact Information

Primary practice address
14 Richland Medical Park Dr Ste 200 Columbia SC 29203-6882
Phone: (803) 296-7846
Fax: (803) 296-9699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 252622 Massachusetts
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 83210 South Carolina

Profile Details

NPI number 1750644290
LBN Legal business name Gonzalez, Tyler Aaron
Credentials M.D., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Apr 27th, 2022 - about 4 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 1750644290 NPPES
South Carolina MEDICAID 832102

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