Tyler Shack M.D.

  • NPI 1386105815
According to our database, the NPI number for Tyler Shack M.D. is 1386105815 and activated since 5 years ago. Tyler Shack M.D. is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 2500 N State St, Jackson, MS 39216. You can also contact Tyler Shack M.D. via telephone number is (601) 984-5914. Provider NPI information was last updated on 03/27/2019.

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Overview of Tyler Shack M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/27/2019
  • Last updated: 03/27/2019

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 2500 N State St
    Jackson, MS 39216
  • Phone: 601-984-5914
  • Fax:

Provider Practice Location

  • Address: 2500 N State St
    Jackson, MS 39216
  • Phone: 601-984-5914
  • Fax:

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Tyler Shack M.D.?
  • A: The npi number for Tyler Shack M.D. is 1386105815.
  • Q: What are Tyler Shack M.D.'s specialties?
  • A: Tyler Shack M.D.'s specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Tyler Shack M.D.?
  • A: The medical license number for Tyler Shack M.D. is unknow and issued in unknow in USA.
  • Q: Where is Tyler Shack M.D. practice location?
  • A: Tyler Shack M.D. is practicing at 2500 N State St, Jackson, MS 39216.
  • Q: How to contact Tyler Shack M.D.?
  • A: You can contact Tyler Shack M.D. via 601-984-5914.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Sports Physician
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.