Tyson, Keith F.

Tyson, Keith F. is an individual health care provider with primary practice located at 1010 Eichelberger St Suite 4, Hanover PA 17331-1374. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Tyson, Keith F. can be contacted via phone (717) 757-3537.

Contact Information

Primary practice address
1010 Eichelberger St Suite 4 Hanover PA 17331-1374
Phone: (717) 757-3537
Fax: (717) 718-9701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC005821 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC005821 Pennsylvania

Profile Details

NPI number 1205815479
LBN Legal business name Tyson, Keith F.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jun 7th, 2016 - about 10 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 1205815479 NPPES
Pennsylvania MEDICAID 1021748160001
Pennsylvania Other 50053764

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