Word, Tyrae

Word, Tyrae is an sole proprietor health care provider with primary practice located at 210 E Cottonwood Ln , Casa Grande AZ 85122-2514. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Word, Tyrae can be contacted via phone (520) 876-1840.

Contact Information

Primary practice address
210 E Cottonwood Ln Casa Grande AZ 85122-2514
Phone: (520) 876-1840
Fax: (520) 421-2708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15592 Arizona

Profile Details

NPI number 1598137242
LBN Legal business name Word, Tyrae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2015
Last updated Oct 21st, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598137242 NPPES
Arizona MEDICAID 020018

Popular Providers