Tynan, Mcdara Gerard
Tynan, Mcdara Gerard is an sole proprietor health care provider with primary practice located at 282 Washington St , Hartford CT 06106-3322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Tynan, Mcdara Gerard can be contacted via phone (860) 837-5506.Contact Information
Primary practice address
282 Washington St
Hartford CT 06106-3322
Phone: (860) 837-5506
Fax: (860) 837-5540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 200600478 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200600478 | North Carolina |
Profile Details
| NPI number | 1609864511 |
|---|---|
| LBN Legal business name | Tynan, Mcdara Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Sep 23rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609864511 | NPPES |
| South Carolina | MEDICAID | N78008 | |
| South Carolina | Other | 142KK | |
| South Carolina | MEDICAID | 5903367 |
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