Provider Demographics
NPI:1588849178
Name:OYLER, SCARLETT ANNETTE (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:SCARLETT
Middle Name:ANNETTE
Last Name:OYLER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2436 PALZO RD
Mailing Address - Street 2:
Mailing Address - City:CREAL SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:62922-3620
Mailing Address - Country:US
Mailing Address - Phone:217-663-8245
Mailing Address - Fax:
Practice Address - Street 1:607 W COMMERCIAL SUITE
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:IL
Practice Address - Zip Code:62946
Practice Address - Country:US
Practice Address - Phone:618-252-7171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1600000494247200000X
IL246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other