Purchatzke, Tyson

Purchatzke, Tyson is an individual health care provider with primary practice located at 1005 Broadway St , Quincy IL 62301-2834. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Purchatzke, Tyson can be contacted via phone (217) 223-8400.

Contact Information

Primary practice address
1005 Broadway St Quincy IL 62301-2834
Phone: (217) 223-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209012422 Illinois

Profile Details

NPI number 1225427453
LBN Legal business name Purchatzke, Tyson
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2015
Last updated Jan 12th, 2015 - about 10 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 1225427453 NPPES
Illinois MEDICAID 041377248

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