Ty Mauldin
Internist - Allergy & Immunology
1316 W Wicklow Ct
Sioux Falls
, South Dakota 57108-3252
Ty Mauldin
Internist - Allergy & Immunology
1316 W Wicklow Ct
Sioux Falls
, South Dakota 57108-3252
(605) 836-1227
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Ty Mauldin
- 1316 W Wicklow Ct
- Sioux Falls, SD
- Zip : 57108-3252
- Phone : (605) 836-1227
Second Address
- Ty Mauldin
- 1316 W Wicklow Ct
- Sioux Falls, SD
- Zip : 57108-3252
- Phone : (605) 836-1227
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | TAMGC05112013 | NC |
National Provider Identifier
| NPI | 1134880453 |
|---|---|
| Provider Name | Ty Mauldin |
| First Address | Sioux Falls, SD 57108-3252 |
| Second Address | Sioux Falls, SD 57108-3252 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2022 |
| Last Update Date | 26/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 96440 | ACCME (ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION) (01) | CA |
| TAMGC05152013 | GREENSBORO COLLEGE (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.