Tyndall, Heather Erin

Tyndall, Heather Erin is an individual health care provider with primary practice located at 744 Airport Road , Kinston NC 28504-8800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tyndall, Heather Erin can be contacted via phone (252) 523-0026.

Contact Information

Primary practice address
744 Airport Road Kinston NC 28504-8800
Phone: (252) 523-0026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00617 North Carolina

Profile Details

NPI number 1740361369
LBN Legal business name Tyndall, Heather Erin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Oct 13th, 2014 - about 10 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 1740361369 NPPES
North Carolina Other 1653M BCBS
North Carolina MEDICAID 8102516 BCBS

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