Sharpe, Tyler Daniel

Sharpe, Tyler Daniel is an individual health care provider with primary practice located at 550 S Jackson St Acb, A3H02, Louisville KY 40202-1622. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sharpe, Tyler Daniel can be contacted via phone (502) 852-7041.

Contact Information

Primary practice address
550 S Jackson St Acb, A3H02 Louisville KY 40202-1622
Phone: (502) 852-7041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R3033 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47962 Kentucky

Profile Details

NPI number 1164788121
LBN Legal business name Sharpe, Tyler Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Aug 27th, 2015 - about 11 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 1164788121 NPPES
Kentucky MEDICAID 7100248210

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