Depena, Tye

Depena, Tye is an individual health care provider with primary practice located at 1505 Main St , Watsonville CA 95076-3761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Depena, Tye can be contacted via phone (831) 722-1444.

Contact Information

Primary practice address
1505 Main St Watsonville CA 95076-3761
Phone: (831) 722-1444
Fax: (831) 722-4414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A60990 California

Profile Details

NPI number 1467459735
LBN Legal business name Depena, Tye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Feb 8th, 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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