Williamson, Tyler

Williamson, Tyler is an individual health care provider with primary practice located at 580 E 9400 S 103, Sandy UT 84070-8407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Williamson, Tyler can be contacted via phone (225) 939-8180.

Contact Information

Primary practice address
580 E 9400 S 103 Sandy UT 84070-8407
Phone: (225) 939-8180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1255744017
LBN Legal business name Williamson, Tyler
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2014
Last updated Mar 5th, 2024 - about 2 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 1255744017 NPPES
Utah Other 9066323-1206 DIVISION OF PROFESSIONAL LICENSING

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