Tyrell, Jon Sands
Tyrell, Jon Sands is an individual health care provider with primary practice located at 221 Northcrest Dr , Springfield TN 37172-3962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tyrell, Jon Sands can be contacted via phone (615) 384-2411.Contact Information
Primary practice address
221 Northcrest Dr
Springfield TN 37172-3962
Phone: (615) 384-2411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 60552 | Tennessee |
Profile Details
| NPI number | 1033129945 |
|---|---|
| LBN Legal business name | Tyrell, Jon Sands |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jan 27th, 2022 - about 4 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 | 1033129945 | NPPES |
| California | MEDICAID | 00646870 |
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