Jones, Ty C

Jones, Ty C is an individual health care provider with primary practice located at 4011 Talbot Rd S Suite 300, Renton WA 98055-5773. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jones, Ty C can be contacted via phone (425) 656-5060.

Contact Information

Primary practice address
4011 Talbot Rd S Suite 300 Renton WA 98055-5773
Fax: (425) 656-5047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60296622 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD60296622 Washington

Profile Details

NPI number 1649419417
LBN Legal business name Jones, Ty C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2009
Last updated Apr 18th, 2020 - about 4 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 1649419417 NPPES
Washington MEDICAID 2020723
Washington Other 351942

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