Colfax, Michael Tyro
Colfax, Michael Tyro is an sole proprietor health care provider with primary practice located at 3278 Mitchell Blvd , Moody Afb GA 31699-3425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Colfax, Michael Tyro can be contacted via phone (229) 257-2778.Contact Information
Primary practice address
3278 Mitchell Blvd
Moody Afb GA 31699-3425
Phone: (229) 257-2778
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2022-01387 | North Carolina |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1710446794 |
---|---|
LBN Legal business name | Colfax, Michael Tyro |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 18th, 2019 |
Last updated | Sep 27th, 2022 - about 3 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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