Tye, William G

Tye, William G is an individual health care provider with primary practice located at 201 Nw Saint James Dr Suite C, Port St Lucie FL 34983-1291. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Tye, William G can be contacted via phone (772) 249-9450.

Contact Information

Primary practice address
201 Nw Saint James Dr Suite C Port St Lucie FL 34983-1291
Phone: (772) 249-9450
Fax: (772) 249-0701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP1293 Florida

Profile Details

NPI number 1972669653
LBN Legal business name Tye, William G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Sep 2nd, 2016 - about 8 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 1972669653 NPPES
Florida Other C0648 BLUECROSS BLUESHIELD

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