Tyler, Thomas

Tyler, Thomas is an individual health care provider with primary practice located at 1140 Laurel St Ste. A, San Carlos CA 94070-5009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tyler, Thomas can be contacted via phone (650) 551-1103.

Contact Information

Primary practice address
1140 Laurel St Ste. A San Carlos CA 94070-5009
Phone: (650) 551-1103
Fax: (650) 551-1104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C50482 California

Profile Details

NPI number 1972587459
LBN Legal business name Tyler, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 19 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 1972587459 NPPES
California MEDICAID 00C50482

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