Tyzack, Joanna Blake
Tyzack, Joanna Blake is an individual health care provider with primary practice located at 6535 N Charles St Ste 400, Baltimore MD 21204-5826. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Tyzack, Joanna Blake can be contacted via phone (410) 828-7417.Contact Information
Primary practice address
6535 N Charles St Ste 400
Baltimore MD 21204-5826
Phone: (410) 828-7417
Fax: (410) 828-0257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | D42383 | Maryland |
Profile Details
| NPI number | 1487659892 |
|---|---|
| LBN Legal business name | Tyzack, Joanna Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Sep 29th, 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 | 1487659892 | NPPES |
| Maryland | MEDICAID | 203561600 |
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