Individual provider · Type 1 NPI
Alexander Tyler Prouty, DO
Student in an Organized Health Care Education/Training Program · Englewood, OH
NPI number
1013610195
Active
Practice location
9000 N Main St Ste G-35
Englewood, OH 45415-1182
Mailing address
1 Wyoming St
Dayton, OH 45409-2722
Other practice locations
- 4100 W 3rd St, Dayton, OH 45428-9000 · (937) 268-6511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 other providers at this address
Other student in an organized health care education/training program providers in Englewood
- Alexus McCoyStudent in an Organized Health Care Education/Training Program Englewood, OH NPI 1144772294
- Betina Beatrice DoblesStudent in an Organized Health Care Education/Training Program Englewood, OH NPI 1225973415
- Matthew BurwinkelStudent in an Organized Health Care Education/Training Program Englewood, OH NPI 1538856604
- Tyler PfahlStudent in an Organized Health Care Education/Training Program Englewood, OH NPI 1760849061
About NPI 1013610195
Alexander Tyler Prouty, DO's National Provider Identifier is 1013610195, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Englewood, OH. The record was last updated on Jun 16, 2026.