Manalac, Tyrone Christopher A.

Manalac, Tyrone Christopher A. is an sole proprietor health care provider with primary practice located at 2400 17Th St , Columbus IN 47201-5351. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Manalac, Tyrone Christopher A. can be contacted via phone (812) 376-5974.

Contact Information

Primary practice address
2400 17Th St Columbus IN 47201-5351
Phone: (812) 376-5974
Fax: (812) 375-3203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01066591A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0166591A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01066591A Indiana

Profile Details

NPI number 1174645063
LBN Legal business name Manalac, Tyrone Christopher A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Mar 22nd, 2023 - about last year

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 1174645063 NPPES
Indiana Other 200969260 C2MEDICAID

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