Powell, Tyrus

Powell, Tyrus is an individual health care provider with primary practice located at 7617 Little River Tpke Suite 310, Annandale VA 22003-2603. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Powell, Tyrus can be contacted via phone (703) 750-2443.

Contact Information

Primary practice address
7617 Little River Tpke Suite 310 Annandale VA 22003-2603
Phone: (703) 750-2443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 0119003123 Virginia

Profile Details

NPI number 1336382738
LBN Legal business name Powell, Tyrus
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2009
Last updated Apr 14th, 2009 - about 15 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 1336382738 NPPES
Virginia Other 0119003123 VIRGINIA BOARD OF MEDICINE

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