Byrd, Tina Marie

Byrd, Tina Marie is an sole proprietor health care provider with primary practice located at 803 Vandercook Way Ste 5 , Longview WA 98632-4039. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Byrd, Tina Marie can be contacted via phone (360) 200-2892.

Contact Information

Primary practice address
803 Vandercook Way Ste 5 Longview WA 98632-4039
Phone: (360) 200-2892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X MA60681429 Washington

Profile Details

NPI number 1700336765
LBN Legal business name Byrd, Tina Marie
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2016
Last updated May 3rd, 2021 - about 4 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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