Hickerson, Tyler Douglas

Hickerson, Tyler Douglas is an individual health care provider with primary practice located at 127 W Fairbanks Ave # 180 , Winter Park FL 32789-4326. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Hickerson, Tyler Douglas can be contacted via phone (239) 443-8739.

Contact Information

Primary practice address
127 W Fairbanks Ave # 180 Winter Park FL 32789-4326
Phone: (239) 443-8739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 3216

Profile Details

NPI number 1861994584
LBN Legal business name Hickerson, Tyler Douglas
Credentials CNIM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2018
Last updated Mar 8th, 2018 - about 8 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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