Tyson, John William
Tyson, John William is an individual health care provider with primary practice located at 4012 N 9Th Ave , Pensacola FL 32503-2824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tyson, John William can be contacted via phone (850) 444-4777.Contact Information
Primary practice address
4012 N 9Th Ave
Pensacola FL 32503-2824
Phone: (850) 444-4777
Fax: (850) 434-3387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME80209 | Florida |
Profile Details
| NPI number | 1649265117 |
|---|---|
| LBN Legal business name | Tyson, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Nov 4th, 2016 - about 9 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 | 1649265117 | NPPES |
| Florida | MEDICAID | 059270300 |
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