King, Michael Tyler

King, Michael Tyler is an individual health care provider with primary practice located at 3600 W Bethel Ave , Muncie IN 47304-5407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. King, Michael Tyler can be contacted via phone (800) 622-6575.

Contact Information

Primary practice address
3600 W Bethel Ave Muncie IN 47304-5407
Phone: (800) 622-6575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A126418 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01077058A Indiana

Profile Details

NPI number 1306112669
LBN Legal business name King, Michael Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2012
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306112669 NPPES
Indiana Other 000001566618 ANTHEM PTAN
Indiana MEDICAID 201386470 ANTHEM PTAN
Indiana Other 1102510166 ANTHEM PTAN

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