Records, Tyson
Records, Tyson is an individual health care provider with primary practice located at 1717 S J St , Tacoma WA 98405-4933. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Records, Tyson can be contacted via phone (844) 364-2778.Contact Information
Primary practice address
1717 S J St
Tacoma WA 98405-4933
Phone: (844) 364-2778
Fax: (253) 566-8777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60310447 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 014858 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60310447 | Washington |
Profile Details
| NPI number | 1962776088 |
|---|---|
| LBN Legal business name | Records, Tyson |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2012 |
| Last updated | Dec 9th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962776088 | NPPES |
| Washington | MEDICAID | 2023512 |
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