Tyson, Samuel Lester
Tyson, Samuel Lester is an sole proprietor health care provider with primary practice located at 3810 N Elm St 209, Greensboro NC 27455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tyson, Samuel Lester can be contacted via phone (336) 282-3940.Contact Information
Primary practice address
3810 N Elm St 209
Greensboro NC 27455
Phone: (336) 282-3940
Fax: (336) 282-8404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 38229 | North Carolina |
Profile Details
| NPI number | 1750327870 |
|---|---|
| LBN Legal business name | Tyson, Samuel Lester |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1750327870 | NPPES |
| North Carolina | MEDICAID | 890257X |
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