Tyburczy, Joseph A

Tyburczy, Joseph A is an individual health care provider with primary practice located at 1800 15Th St Suite 210, Greeley CO 80631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tyburczy, Joseph A can be contacted via phone (970) 352-8216.

Contact Information

Primary practice address
1800 15Th St Suite 210 Greeley CO 80631
Fax: (970) 352-5297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21451 Colorado

Profile Details

NPI number 1386682086
LBN Legal business name Tyburczy, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 6th, 2010 - about 15 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 1386682086 NPPES
Colorado MEDICAID 01214519

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