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Contact Information

TYLER J OSGOOD
190 E BANNOCK ST
BOISE, ID83712-6241
 Phone: 208-381-2490
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

1835P0200X
Indicates primary specialty

NPI Profile & details for TYLER J OSGOOD · (Male)

NPI Number 1932749181
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2020
Last updated 01/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # P7069
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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