Cook, Tyson Willis

Cook, Tyson Willis is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cook, Tyson Willis can be contacted via phone (801) 507-6600.

Contact Information

Primary practice address
5121 S Cottonwood St Murray UT 84107-5701
Phone: (801) 507-6600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 330938-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2009-00281 North Carolina

Profile Details

NPI number 1073642914
LBN Legal business name Cook, Tyson Willis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated May 20th, 2016 - about 8 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 1073642914 NPPES
North Carolina MEDICAID 5912216
North Carolina MEDICAID N0028I
North Carolina MEDICAID 1073642914

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