Gasta, Tyson
Gasta, Tyson is an individual health care provider with primary practice located at 4200 Highland Rd , Waterford MI 48328-2137. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Gasta, Tyson can be contacted via phone (248) 738-7833.Contact Information
Primary practice address
4200 Highland Rd
Waterford MI 48328-2137
Phone: (248) 738-7833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 5302043785 | Michigan |
Profile Details
| NPI number | 1255706123 |
|---|---|
| LBN Legal business name | Gasta, Tyson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2015 |
| Last updated | Dec 3rd, 2015 - about 9 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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