Jolley, Tyler Virgil

Jolley, Tyler Virgil is an sole proprietor health care provider with primary practice located at 2401 S 31St St Office Of Podiatry, Temple TX 76508-0001. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Jolley, Tyler Virgil can be contacted via phone (435) 749-3903.

Contact Information

Primary practice address
2401 S 31St St Office Of Podiatry Temple TX 76508-0001
Phone: (435) 749-3903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X T44-2012 Texas
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X T44-2012 Texas

Profile Details

NPI number 1568725893
LBN Legal business name Jolley, Tyler Virgil
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2012
Last updated Sep 22nd, 2014 - about 12 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 1568725893 NPPES
Texas Other T44-2012 TEXAS STATE BOARD OF PODIATRIC MEDICAL EXAMINERS

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