Ice, Tyler Akira

Ice, Tyler Akira is an individual health care provider with primary practice located at 4300 E Flamingo Ave , Nampa ID 83687-3138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ice, Tyler Akira can be contacted via phone (714) 318-0439.

Contact Information

Primary practice address
4300 E Flamingo Ave Nampa ID 83687-3138
Phone: (714) 318-0439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-17236 Idaho
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M-17236 Idaho

Profile Details

NPI number 1659900736
LBN Legal business name Ice, Tyler Akira
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2020
Last updated Nov 3rd, 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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