Affleck, Ty Preston

Affleck, Ty Preston is an individual health care provider with primary practice located at 1255 N Dutton Ave , Santa Rosa CA 95401-4663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Affleck, Ty Preston can be contacted via phone (707) 546-9400.

Contact Information

Primary practice address
1255 N Dutton Ave Santa Rosa CA 95401-4663
Phone: (707) 546-9400
Fax: (707) 546-9464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X G073843 California

Profile Details

NPI number 1306941083
LBN Legal business name Affleck, Ty Preston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated May 11th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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