Organization · Type 2 NPI

TLT

Point of Service · Sheridan, WY

NPI number 1093553539 Active

Practice location

30 N Gould St Ste R
Sheridan, WY 82801-6317

Mailing address

270 W 123rd St Apt 5B
New York, NY 10027-8112

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1093553539

TLT's National Provider Identifier is 1093553539, issued on Jul 18, 2024. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Sheridan, WY. The record was last updated on Jul 18, 2024.