Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYLER ELLIOT JOHNSON, IDC
Active Sole ProprietorMR. TYLER ELLIOT JOHNSON, IDC is a Independent Duty Corpsman healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1679846281 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1679846281
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2012 (14.491046111714 yrs)
- Last Updated
- Feb 13, 2012
- License
-
B8829445 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
342 DOVER CTVIRGINIA BEACH, VA, 234544253Browse VA providers · Browse ZIP 23454
- Phone
- 4156722782
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in VIRGINIA BEACH, VA
| Name | Credential | NPI |
|---|---|---|
| MR. REYNALDO AFABLE GALANG | IDC | 1215904206 |
| MR. STEVEN K ANDREWS | IDC | 1366411779 |
| MR. RANDY SCOTT BREIDEL | SUB IDC | 1265401673 |
| JEFFERY ALAN MILLER | IDC | 1457320731 |
| MR. THOMAS IVAN KLEIN | — | 1669431771 |
| MR. RAMONCITO VALENCIA PEDRO | SUB-IDC | 1144281270 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.