Andelin, Tyson

Andelin, Tyson is an individual health care provider with primary practice located at 605 S Coolidge St , Moses Lake WA 98837-1893. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Andelin, Tyson can be contacted via phone (509) 765-0674.

Contact Information

Primary practice address
605 S Coolidge St Moses Lake WA 98837-1893
Phone: (509) 765-0674
Fax: (509) 764-0344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PENDING Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60875340 Washington

Profile Details

NPI number 1508343732
LBN Legal business name Andelin, Tyson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2018
Last updated Jun 14th, 2021 - about 5 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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