Tzystuck, Fred Patrick
Tzystuck, Fred Patrick is an individual health care provider with primary practice located at 1710 Harper Rd , Beckley WV 25801-3357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tzystuck, Fred Patrick can be contacted via phone (304) 254-3101.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 21661 | West Virginia |
Profile Details
| NPI number | 1326064486 |
|---|---|
| LBN Legal business name | Tzystuck, Fred Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Nov 12th, 2020 - about 5 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 | 1326064486 | NPPES |
| West Virginia | MEDICAID | PENDING |
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