Tryon, Thomas Wayne

Tryon, Thomas Wayne is an individual health care provider with primary practice located at 206 E Elm St , Caldwell ID 83605-4815. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tryon, Thomas Wayne can be contacted via phone (208) 459-4511.

Contact Information

Primary practice address
206 E Elm St Caldwell ID 83605-4815
Phone: (208) 459-4511
Fax: (208) 459-6602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA414 Idaho

Profile Details

NPI number 1205885092
LBN Legal business name Tryon, Thomas Wayne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Oct 14th, 2010 - about 14 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 1205885092 NPPES
Idaho MEDICAID 806483200

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