Southard, Tyler
Southard, Tyler is an sole proprietor health care provider with primary practice located at 2780 E Barnett Rd Ste 200 , Medford OR 97504-8674. 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. Southard, Tyler can be contacted via phone (541) 779-6250.Contact Information
Primary practice address
2780 E Barnett Rd Ste 200
Medford OR 97504-8674
Phone: (541) 779-6250
Fax: (541) 608-2535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Oregon |
Profile Details
| NPI number | 1457755134 |
|---|---|
| LBN Legal business name | Southard, Tyler |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2014 |
| Last updated | Oct 5th, 2022 - about 4 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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