Dekorse, Tyson

Dekorse, Tyson is an individual health care provider with primary practice located at 475 W 940 N , Provo UT 84604-3301. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Dekorse, Tyson can be contacted via phone (801) 357-7940.

Contact Information

Primary practice address
475 W 940 N Provo UT 84604-3301
Phone: (801) 357-7940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1043421936
LBN Legal business name Dekorse, Tyson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jan 12th, 2009 - about 16 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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