Cobb, Tyrone W

Cobb, Tyrone W is an sole proprietor health care provider with primary practice located at 41069 Dequindre Rd Ste 103, Troy MI 48085-6730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cobb, Tyrone W can be contacted via phone (248) 828-1080.

Contact Information

Primary practice address
41069 Dequindre Rd Ste 103 Troy MI 48085-6730
Fax: (248) 828-1028
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301036564 Michigan

Profile Details

NPI number 1235110172
LBN Legal business name Cobb, Tyrone W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Feb 11th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235110172 NPPES
Michigan MEDICAID 2122011

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