Tyler, Shannon K.

Tyler, Shannon K. is an individual health care provider with primary practice located at 2451 Fillingim St Mastin Bldg., Mobile AL 36617-2238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Tyler, Shannon K. can be contacted via phone (251) 470-5890.

Contact Information

Primary practice address
2451 Fillingim St Mastin Bldg. Mobile AL 36617-2238
Phone: (251) 470-5890
Fax: (251) 471-7925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 24784 Alabama

Profile Details

NPI number 1205883154
LBN Legal business name Tyler, Shannon K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated May 12th, 2015 - about 11 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 1205883154 NPPES
Alabama Other 92-00090 UNITED HEALTHCARE
Alabama MEDICAID 009935856 UNITED HEALTHCARE
Alabama MEDICAID 07639500 UNITED HEALTHCARE
Alabama Other 51535529 UNITED HEALTHCARE
Alabama Other 51535531 UNITED HEALTHCARE
Alabama MEDICAID 274994700 UNITED HEALTHCARE
Alabama MEDICAID 009935857 UNITED HEALTHCARE
Alabama MEDICAID 1582034 UNITED HEALTHCARE

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