Tyler, Mike O
Tyler, Mike O is an individual health care provider with primary practice located at 9565 Highway 78 Bldg 100 , Ladson SC 29456-4118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Tyler, Mike O can be contacted via phone (843) 553-7615.Contact Information
Primary practice address
9565 Highway 78 Bldg 100
Ladson SC 29456-4118
Phone: (843) 553-7615
Fax: (843) 553-1008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 8587 | South Carolina |
Profile Details
| NPI number | 1750348371 |
|---|---|
| LBN Legal business name | Tyler, Mike O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jul 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750348371 | NPPES |
| South Carolina | MEDICAID | 085874 |
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