Ty, Henry Y

Ty, Henry Y is an individual health care provider with primary practice located at 354 Merrimack St , Lawrence MA 01843-1754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Ty, Henry Y can be contacted via phone (978) 687-2321.

Contact Information

Primary practice address
354 Merrimack St Lawrence MA 01843-1754
Phone: (978) 687-2321
Fax: (978) 685-7265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 12042 New Hampshire
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 218030 Massachusetts

Profile Details

NPI number 1932196128
LBN Legal business name Ty, Henry Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 4th, 2020 - about 5 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 1932196128 NPPES
Massachusetts Other 59840 FCHP
Massachusetts Other J26789 FCHP
Massachusetts MEDICAID 2020670 FCHP
Massachusetts Other 7456469 FCHP
Massachusetts Other 7960842-001 FCHP
Massachusetts Other AA1709 FCHP
Massachusetts Other 01Y007853MA01 FCHP
Massachusetts Other 05-00833 FCHP
Massachusetts Other 05-00938 FCHP
Massachusetts Other 467235 FCHP
Massachusetts Other 0030531 FCHP
Massachusetts MEDICAID 30203970 FCHP

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