Johnson, Tyler

Johnson, Tyler is an sole proprietor health care provider with primary practice located at 1715 Northfield Dr , Rochester Hills MI 48309-3819. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as his primary health care specialty. Johnson, Tyler can be contacted via phone (248) 293-2400.

Contact Information

Primary practice address
1715 Northfield Dr Rochester Hills MI 48309-3819
Phone: (248) 293-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X

Profile Details

NPI number 1114499613
LBN Legal business name Johnson, Tyler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2018
Last updated Dec 20th, 2018 - about 7 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 1114499613 NPPES
Michigan Other 5201009026 OCCUPATIONAL THERAPIST LICENSE
Michigan Other 13225 OCCUPATIONAL THERAPIST LICENSE

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