Heidt, Tyler L

Heidt, Tyler L is an sole proprietor health care provider with primary practice located at 2435 Ne Cumulus Ave , Mcminnville OR 97128-8805. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Heidt, Tyler L can be contacted via phone (503) 472-6161.

Contact Information

Primary practice address
2435 Ne Cumulus Ave Mcminnville OR 97128-8805
Phone: (503) 472-6161
Fax: (503) 434-6290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1912627910
LBN Legal business name Heidt, Tyler L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2022
Last updated Oct 3rd, 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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