Stull, Tyler Wesley

Stull, Tyler Wesley is an sole proprietor health care provider with primary practice located at 1200 W State St , Rockford IL 61102-2112. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Stull, Tyler Wesley can be contacted via phone (815) 490-1600.

Contact Information

Primary practice address
1200 W State St Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29194 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180011338 Illinois

Profile Details

NPI number 1407446636
LBN Legal business name Stull, Tyler Wesley
Credentials LCPC CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2021
Last updated Oct 24th, 2023 - 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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