Manuel, Ty J.

Manuel, Ty J. is an sole proprietor health care provider with primary practice located at 4030 Dowlen Rd Ste 6 , Beaumont TX 77706-6878. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Manuel, Ty J. can be contacted via phone (409) 892-9091.

Contact Information

Primary practice address
4030 Dowlen Rd Ste 6 Beaumont TX 77706-6878
Phone: (409) 892-9091
Fax: (409) 892-9090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 50322 Texas

Profile Details

NPI number 1306905732
LBN Legal business name Manuel, Ty J.
Credentials HHS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Jun 13th, 2008 - 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 1306905732 NPPES
Texas MEDICAID 180555801

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