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
Fax: (520) 281-0189
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447218425 NPPES
Arizona MEDICAID 808040
Arizona Other 11334734

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