W. Craig Tyree, Md, Plc

LBN: W. Craig Tyree, Md, Plc
W. Craig Tyree, Md, Plc is an health care organization with primary practice located at 103 Trista Ln , Glasgow KY 42141-3482. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. W. Craig Tyree, Md, Plc can be contacted via phone (270) 659-0184, or through Tyree, William Craig via phone (270) 659-0184.

Contact Information

Primary practice address
103 Trista Ln Glasgow KY 42141-3482
Phone: (270) 659-0184
Fax: (270) 651-9264
Website:
Map and Directions
Authorized official contact:
Name: Tyree, William Craig Doctor of Medicine (MD)
Phone: (270) 659-0184

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 34721 Kentucky

Profile Details

NPI number 1215126206
LBN Legal business name W. Craig Tyree, Md, Plc
DBA Doing business as
Authorized official Tyree, William Craig Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Nov 12th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215126206 NPPES
Kentucky Other 000000364525 ANTHEM GROUP NUMBER
Kentucky MEDICAID 64047186 ANTHEM GROUP NUMBER

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