Prewitt, Joseph Tye

Prewitt, Joseph Tye is an sole proprietor health care provider with primary practice located at 100 London Mountain View Dr , London KY 40741-6601. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Prewitt, Joseph Tye can be contacted via phone (606) 330-4140.

Contact Information

Primary practice address
100 London Mountain View Dr London KY 40741-6601
Phone: (606) 330-4140
Fax: (606) 330-4177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1769 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1769 Kentucky

Profile Details

NPI number 1154766152
LBN Legal business name Prewitt, Joseph Tye
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2013
Last updated Sep 29th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154766152 NPPES
Kentucky MEDICAID 7100252880
Kentucky Other P01438910

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