Burruss, Tyson J
Burruss, Tyson J is an individual health care provider with primary practice located at 3709 Citation Way Ste 102 , Medford OR 97504-9022. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Burruss, Tyson J can be contacted via phone (541) 500-6532.Contact Information
Primary practice address
3709 Citation Way Ste 102
Medford OR 97504-9022
Phone: (541) 500-6532
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 9621038 | Oregon |
Profile Details
| NPI number | 1104471390 |
|---|---|
| LBN Legal business name | Burruss, Tyson J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2019 |
| Last updated | Aug 5th, 2019 - about 7 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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