Tynes, Donald J

Tynes, Donald J is an sole proprietor health care provider with primary practice located at 756 Pipestone St , Benton Harbor MI 49022-4845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tynes, Donald J can be contacted via phone (269) 926-8535.

Contact Information

Primary practice address
756 Pipestone St Benton Harbor MI 49022-4845
Phone: (269) 926-8535
Fax: (269) 926-8528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301065652 Michigan

Profile Details

NPI number 1609851153
LBN Legal business name Tynes, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Mar 20th, 2019 - 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 1609851153 NPPES
Michigan Other 06103A BERRIEN HEALTH PLAN
Michigan Other 7338232 BERRIEN HEALTH PLAN
Michigan Other 11-01-11-04-82 BERRIEN HEALTH PLAN
Michigan Other OPO3540 BERRIEN HEALTH PLAN
Michigan Other 11583 BERRIEN HEALTH PLAN
Michigan MEDICAID 4662247-10 BERRIEN HEALTH PLAN
Michigan Other 412153406100 BERRIEN HEALTH PLAN

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