Owen, Michael Tyler

Owen, Michael Tyler is an sole proprietor health care provider with primary practice located at 3401 4Th St Nw , Albuquerque NM 87107-2423. 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. Owen, Michael Tyler can be contacted via phone (505) 994-5300.

Contact Information

Primary practice address
3401 4Th St Nw Albuquerque NM 87107-2423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2023-0025 New Mexico

Profile Details

NPI number 1437898384
LBN Legal business name Owen, Michael Tyler
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2022
Last updated Jul 13th, 2023 - about 2 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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