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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 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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