Tyree, Elmer David
Tyree, Elmer David is an sole proprietor health care provider with primary practice located at 11959 Mariposa Rd , Hesperia CA 92345-1637. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Tyree, Elmer David can be contacted via phone (760) 956-2462.Contact Information
Primary practice address
11959 Mariposa Rd
Hesperia CA 92345-1637
Phone: (760) 956-2462
Fax: (760) 956-7542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1255535738 |
|---|---|
| LBN Legal business name | Tyree, Elmer David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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