Tyson, Daniel Lewis

Tyson, Daniel Lewis is an individual health care provider with primary practice located at 208 W Casablanca Ave , Clovis NM 88103-5009. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Tyson, Daniel Lewis can be contacted via phone (575) 784-7801.

Contact Information

Primary practice address
208 W Casablanca Ave Clovis NM 88103-5009
Phone: (575) 784-7801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1245474667
LBN Legal business name Tyson, Daniel Lewis
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Apr 29th, 2009 - about 15 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.

Request for update

Popular Providers