Thompson, Tyler Joseph

Thompson, Tyler Joseph is an sole proprietor health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. 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 / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Thompson, Tyler Joseph can be contacted via phone (209) 547-5716.

Contact Information

Primary practice address
1800 N California St Stockton CA 95204-6019
Phone: (209) 547-5716
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 / General Practice 208D00000X 20A20365 California

Profile Details

NPI number 1770141004
LBN Legal business name Thompson, Tyler Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2019
Last updated Nov 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770141004 NPPES
California MEDICAID 95171623G

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