Rauwolf, Tyler Jonathan

Rauwolf, Tyler Jonathan is an sole proprietor health care provider with primary practice located at 4885 Antrim Dr , Sarasota FL 34240-4305. He recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Nutrition, Education, Speech, Language and Hearing Service Providers / Specialist/Technologist. Dietary & Nutritional Service Providers / Dietary Manager is his primary health care specialty. Rauwolf, Tyler Jonathan can be contacted via phone (708) 363-7476.

Contact Information

Primary practice address
4885 Antrim Dr Sarasota FL 34240-4305
Phone: (708) 363-7476
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X

Profile Details

NPI number 1376268748
LBN Legal business name Rauwolf, Tyler Jonathan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2022
Last updated Oct 7th, 2022 - about 3 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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