Bristol, Tyrone Gary
Bristol, Tyrone Gary is an sole proprietor health care provider with primary practice located at 802 New Holland Ave Ste 100 , Lancaster PA 17602-2288. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bristol, Tyrone Gary can be contacted via phone (717) 560-3782.Contact Information
Primary practice address
802 New Holland Ave Ste 100
Lancaster PA 17602-2288
Phone: (717) 560-3782
Fax: (717) 560-3787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD053658L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2013-02294 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 198984 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 11658 | Georgia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD053658L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD053658L | Pennsylvania |
Profile Details
| NPI number | 1437150596 |
|---|---|
| LBN Legal business name | Bristol, Tyrone Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Apr 12th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437150596 | NPPES |
| South Carolina | MEDICAID | NC2031 | |
| South Carolina | MEDICAID | 1437150596 | |
| South Carolina | MEDICAID | 01697965 |
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