Tye, Ronald B

Tye, Ronald B is an individual health care provider with primary practice located at 6003 Overland Rd Suite 301, Boise ID 83709-3073. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tye, Ronald B can be contacted via phone (208) 672-8699.

Contact Information

Primary practice address
6003 Overland Rd Suite 301 Boise ID 83709-3073
Phone: (208) 672-8699
Fax: (208) 672-9308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY316 Idaho
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY3208 Arizona

Profile Details

NPI number 1225222433
LBN Legal business name Tye, Ronald B
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Aug 15th, 2012 - about 13 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 1225222433 NPPES
Idaho MEDICAID 805455300
Idaho Other 000010017563
Idaho Other N5228
Idaho Other 1194837351

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