Tyson, Mary Amato
Tyson, Mary Amato is an sole proprietor health care provider with primary practice located at 3643 N Roxboro St , Durham NC 27704-2702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Tyson, Mary Amato can be contacted via phone (919) 470-5345.Contact Information
Primary practice address
3643 N Roxboro St
Durham NC 27704-2702
Phone: (919) 470-5345
Fax: (919) 477-5474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 9400191 | North Carolina |
Profile Details
| NPI number | 1316911035 |
|---|---|
| LBN Legal business name | Tyson, Mary Amato |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Oct 26th, 2017 - about 7 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 | 1316911035 | NPPES |
| North Carolina | Other | 10999 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 8910999 | BLUE CROSS BLUE SHIELD |
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