Tyson, Gregory Ross
Tyson, Gregory Ross is an sole proprietor health care provider with primary practice located at 5871 Frank Rd Nw , North Canton OH 44720-7543. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Tyson, Gregory Ross can be contacted via phone (330) 497-6745.Contact Information
Primary practice address
5871 Frank Rd Nw
North Canton OH 44720-7543
Phone: (330) 497-6745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1104002237 |
|---|---|
| LBN Legal business name | Tyson, Gregory Ross |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2008 |
| Last updated | Jan 18th, 2008 - about 18 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 | 1104002237 | NPPES |
| Ohio | Other | 2710230 | PROVIDER I.D. NUMBER |
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