Mansberger, Tyler Dwane

Mansberger, Tyler Dwane is an individual health care provider with primary practice located at 6678 Towne Center Blvd , Huntingdon PA 16652-6934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mansberger, Tyler Dwane can be contacted via phone (814) 506-8490.

Contact Information

Primary practice address
6678 Towne Center Blvd Huntingdon PA 16652-6934
Phone: (814) 506-8490
Fax: (814) 506-8493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA056247 Pennsylvania

Profile Details

NPI number 1811325228
LBN Legal business name Mansberger, Tyler Dwane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2013
Last updated Aug 31st, 2022 - about 4 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 1811325228 NPPES
Pennsylvania MEDICAID 0008434780002
Pennsylvania Other 400472
Pennsylvania MEDICAID 102926115-0003
Pennsylvania MEDICAID 102926115-0006
Pennsylvania MEDICAID 102926115-0007
Pennsylvania MEDICAID 102926115-0008
Pennsylvania MEDICAID 102926115-0002
Pennsylvania Other 754008
Pennsylvania MEDICAID 102926115-0005
Pennsylvania MEDICAID 102926115-0004
Pennsylvania MEDICAID 102926115-0009
Pennsylvania Other 709708

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