Salness, Ty A

Salness, Ty A is an individual health care provider with primary practice located at 845 W Center St Suite 200, Pocatello ID 83204-4205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Salness, Ty A can be contacted via phone (208) 232-6260.

Contact Information

Primary practice address
845 W Center St Suite 200 Pocatello ID 83204-4205
Phone: (208) 232-6260
Fax: (208) 232-6259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M9343 Idaho
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X M9343 Idaho

Profile Details

NPI number 1831132232
LBN Legal business name Salness, Ty A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 30th, 2013 - about 12 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 1831132232 NPPES
Idaho MEDICAID 8073119
Idaho Other B5569

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