James-Hart, Tyshaun M

James-Hart, Tyshaun M is an individual health care provider with primary practice located at 250 Stanaford Rd Suite 105, Beckley WV 25801-3140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. James-Hart, Tyshaun M can be contacted via phone (304) 254-2667.

Contact Information

Primary practice address
250 Stanaford Rd Suite 105 Beckley WV 25801-3140
Phone: (304) 254-2667
Fax: (304) 254-2732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 21616 West Virginia

Profile Details

NPI number 1407840978
LBN Legal business name James-Hart, Tyshaun M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Oct 19th, 2007 - about 17 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 1407840978 NPPES
West Virginia Other 001723603 MOUNTAIN STATE BLUE CROSS
West Virginia MEDICAID 3810001300 MOUNTAIN STATE BLUE CROSS
West Virginia Other 000056944C MOUNTAIN STATE BLUE CROSS
West Virginia Other P00380544 MOUNTAIN STATE BLUE CROSS

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