Tysinger, James W

Tysinger, James W is an sole proprietor health care provider with primary practice located at 345 Hickory St , Red Bluff CA 96080-2702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tysinger, James W can be contacted via phone (530) 529-4733.

Contact Information

Primary practice address
345 Hickory St Red Bluff CA 96080-2702
Phone: (530) 529-4733
Fax: (530) 529-1842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C37451 California

Profile Details

NPI number 1235285883
LBN Legal business name Tysinger, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Oct 21st, 2008 - about 16 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 1235285883 NPPES
California MEDICAID 00C345100

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