Tyson, James C

Tyson, James C is an individual health care provider with primary practice located at 161 Wadsworth Dr , Richmond VA 23236-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tyson, James C can be contacted via phone (804) 484-3700.

Contact Information

Primary practice address
161 Wadsworth Dr Richmond VA 23236-4500
Fax: (804) 320-6462
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101047905 Virginia

Profile Details

NPI number 1366447047
LBN Legal business name Tyson, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jan 11th, 2022 - about 3 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 1366447047 NPPES
Virginia MEDICAID 6502288

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