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Contact Information

TYLER L JAMISON, ATC
925 UNION ST STE 3
BANGOR, ME04401-3051
 Phone: 207-974-7400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TYLER L JAMISON · (Male)

NPI Number 1831668342
Status Active
Credentials ATC
Entity Individual
Enumeration date 11/14/2018
Last updated 11/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ME License # AT662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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