Gresham, Tyler
Gresham, Tyler is an sole proprietor health care provider with primary practice located at 1510 Forest Ave , Montgomery AL 36106-1517. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gresham, Tyler can be contacted via phone (334) 834-6422.Contact Information
Primary practice address
1510 Forest Ave
Montgomery AL 36106-1517
Phone: (334) 834-6422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1215707336 |
|---|---|
| LBN Legal business name | Gresham, Tyler |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2024 |
| Last updated | Jan 9th, 2024 - about last year |
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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