Tolman, Tyler Jake

Tolman, Tyler Jake is an individual health care provider with primary practice located at 3101 E State St Ste And2107 , Eagle ID 83616-6232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tolman, Tyler Jake can be contacted via phone (208) 473-3500.

Contact Information

Primary practice address
3101 E State St Ste And2107 Eagle ID 83616-6232
Phone: (208) 473-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MRO-1739 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-1336 Idaho

Profile Details

NPI number 1740774439
LBN Legal business name Tolman, Tyler Jake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2018
Last updated Nov 15th, 2021 - about 5 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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