Bueno, Tyra L

Bueno, Tyra L is an sole proprietor health care provider with primary practice located at 363 W Huron St , Pontiac MI 48341-1423. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bueno, Tyra L can be contacted via phone (248) 745-6940.

Contact Information

Primary practice address
363 W Huron St Pontiac MI 48341-1423
Phone: (248) 745-6940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Michigan

Profile Details

NPI number 1528277431
LBN Legal business name Bueno, Tyra L
Credentials BA, CAC1
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 18 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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