Tyson, Brian M.
Tyson, Brian M. is an individual health care provider with primary practice located at 2026 N Imperial Ave Ste C , El Centro CA 92243-1607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tyson, Brian M. can be contacted via phone (760) 592-4351.Contact Information
Primary practice address
2026 N Imperial Ave Ste C
El Centro CA 92243-1607
Phone: (760) 592-4351
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A88297 | California |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A88297 | California |
Profile Details
NPI number | 1346266269 |
---|---|
LBN Legal business name | Tyson, Brian M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2006 |
Last updated | Mar 3rd, 2022 - about 2 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 | 1346266269 | NPPES |
California | Other | 00A882970 | BLUE SHIELD |
California | Other | 00A882970 | BLUE SHIELD |
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