Pack, Tyler Wayne

Pack, Tyler Wayne is an sole proprietor health care provider with primary practice located at 15221 State Route 124 , Piketon OH 45661. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Pack, Tyler Wayne can be contacted via phone (740) 505-1420.

Contact Information

Primary practice address
15221 State Route 124 Piketon OH 45661
Phone: (740) 505-1420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1902457062
LBN Legal business name Pack, Tyler Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2019
Last updated Sep 20th, 2019 - about 7 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.

Request for update

Popular Providers