Endean, Ty Howard
Endean, Ty Howard is an individual health care provider with primary practice located at 1622 N Swan Rd , Tucson AZ 85712-4047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Endean, Ty Howard can be contacted via phone (520) 323-5925.Contact Information
Primary practice address
1622 N Swan Rd
Tucson AZ 85712-4047
Phone: (520) 323-5925
Fax: (520) 281-0189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 3953 | Arizona |
Profile Details
| NPI number | 1447218425 |
|---|---|
| LBN Legal business name | Endean, Ty Howard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Dec 7th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447218425 | NPPES |
| Arizona | MEDICAID | 808040 | |
| Arizona | Other | 11334734 |
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