Tyau, Keone

Tyau, Keone is an sole proprietor health care provider with primary practice located at 500 N Indiana Ave , Winslow AZ 86004. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tyau, Keone can be contacted via phone (928) 289-6116.

Contact Information

Primary practice address
500 N Indiana Ave Winslow AZ 86004
Phone: (928) 289-6116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 50058186 New York

Profile Details

NPI number 1790154151
LBN Legal business name Tyau, Keone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - about 11 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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