Philpott, Tyler

Philpott, Tyler is an sole proprietor health care provider with primary practice located at 5 School St , Bethel CT 06801-1854. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Philpott, Tyler can be contacted via phone (203) 798-2020.

Contact Information

Primary practice address
5 School St Bethel CT 06801-1854
Fax: (203) 798-2179
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1011 Connecticut

Profile Details

NPI number 1477642973
LBN Legal business name Philpott, Tyler
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Oct 4th, 2010 - about 16 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 1477642973 NPPES
Connecticut MEDICAID 004067666

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