Tynes, John Wagner
Tynes, John Wagner is an individual health care provider with primary practice located at 14300 Orchard Pkwy Fl 3 , Westminster CO 80023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tynes, John Wagner can be contacted via phone (303) 426-2580.Contact Information
Primary practice address
14300 Orchard Pkwy Fl 3
Westminster CO 80023
Phone: (303) 426-2580
Fax: (303) 426-2590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A00067848 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | DR.0053014 | Colorado |
Profile Details
| NPI number | 1992746002 |
|---|---|
| LBN Legal business name | Tynes, John Wagner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jun 6th, 2018 - about 7 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 | 1992746002 | NPPES |
| Oregon | Other | R112329 | NORIDIAN MEDICARE |
| Oregon | Other | ZZZ09988Z | NORIDIAN MEDICARE |
| Oregon | Other | 160055143 | NORIDIAN MEDICARE |
| Oregon | Other | 268688 | NORIDIAN MEDICARE |
| Oregon | MEDICAID | 00A678480 | NORIDIAN MEDICARE |
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