Tyson, Mary Amato

Tyson, Mary Amato is an sole proprietor health care provider with primary practice located at 3643 N Roxboro St , Durham NC 27704-2702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Tyson, Mary Amato can be contacted via phone (919) 470-5345.

Contact Information

Primary practice address
3643 N Roxboro St Durham NC 27704-2702
Phone: (919) 470-5345
Fax: (919) 477-5474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9400191 North Carolina

Profile Details

NPI number 1316911035
LBN Legal business name Tyson, Mary Amato
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Oct 26th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316911035 NPPES
North Carolina Other 10999 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 8910999 BLUE CROSS BLUE SHIELD

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