Johnson, Tyler
Johnson, Tyler is an sole proprietor health care provider with primary practice located at 2628 E Glenwood St , Springfield MO 65804-3422. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Johnson, Tyler can be contacted via phone (417) 860-8465.Contact Information
Primary practice address
2628 E Glenwood St
Springfield MO 65804-3422
Phone: (417) 860-8465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 2016015074 | Missouri |
Profile Details
| NPI number | 1710335427 |
|---|---|
| LBN Legal business name | Johnson, Tyler |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2016 |
| Last updated | Nov 20th, 2025 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710335427 | NPPES |
| Illinois | Other | 277003758 | FULL PRACTICE AUTHORITY APRN |
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