Tyree, Thomas A
Tyree, Thomas A is an individual health care provider with primary practice located at 1475 Kisker Rd Suite 200, Saint Charles MO 63304-8781. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tyree, Thomas A can be contacted via phone (636) 498-5850.Contact Information
Primary practice address
1475 Kisker Rd Suite 200
Saint Charles MO 63304-8781
Phone: (636) 498-5850
Fax: (636) 669-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R2P42 | Missouri |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | R2P42 | Missouri |
Profile Details
| NPI number | 1841251048 |
|---|---|
| LBN Legal business name | Tyree, Thomas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 16th, 2020 - about 4 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 | 1841251048 | NPPES |
| Missouri | MEDICAID | 203043609 |
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