Amundsen, Tyson
Amundsen, Tyson is an individual health care provider with primary practice located at 1500 W Poplar Ave , Collierville TN 38017-0601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Amundsen, Tyson can be contacted via phone (901) 861-9000.Contact Information
Primary practice address
1500 W Poplar Ave
Collierville TN 38017-0601
Phone: (901) 861-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 68349 | Tennessee |
Profile Details
| NPI number | 1013573054 |
|---|---|
| LBN Legal business name | Amundsen, Tyson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2019 |
| Last updated | Apr 29th, 2024 - about last year |
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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