Moulton, Tyler Rowberry
Moulton, Tyler Rowberry is an sole proprietor health care provider with primary practice located at 420 Cardinal Dr , Shelley ID 83274-4925. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Moulton, Tyler Rowberry can be contacted via phone (208) 360-4210.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Idaho |
Profile Details
| NPI number | 1861016339 |
|---|---|
| LBN Legal business name | Moulton, Tyler Rowberry |
| Credentials | BSBI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2020 |
| Last updated | Jun 1st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861016339 | NPPES |
| Idaho | MEDICAID | 6169 |
Popular Providers
-
Lichtenberg, Viktoriya
369 S Holmes Ave , Shelley ID 83274-1325 -
Olah, Suzanne Elizabeth
812 W Town And Country Rd , Orange CA 92868-4712 -
Sassen-Croy, Sharon Rachelle
6428 Old Medinah Cir , Lake Worth FL 33463-7338 -
Fisk, Albert
41521 W 11 Mile Rd , Novi MI 48375-1803 -
Moulton, Craig
420 Cardinal Dr , Shelley ID 83274-4925 -
Mckinney, Danielle Hutchings
392 Cheyenne Dr , Shelley ID 83274-4705 -
Repay, Christina Eva
3200 Greenfield Rd Ste 300 , Dearborn MI 48120-1800 -
Korenke, Kaja Madison
420 Cardinal Dr , Shelley ID 83274-4925