Shaw, Tyana

Shaw, Tyana is an individual health care provider with primary practice located at 4965 Ridgeview Dr , Antioch CA 94531-7757. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as her primary health care specialty. Shaw, Tyana can be contacted via phone (510) 703-2130.

Contact Information

Primary practice address
4965 Ridgeview Dr Antioch CA 94531-7757
Phone: (510) 703-2130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207RI0001X 207RI0001 California

Profile Details

NPI number 1669199642
LBN Legal business name Shaw, Tyana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2022
Last updated Nov 12th, 2022 - about 3 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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