White, Tyra
White, Tyra is an individual health care provider with primary practice located at 1000 Galloping Hill Rd Ste 108 , Union NJ 07083-7989. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. White, Tyra can be contacted via phone (908) 522-3730.Contact Information
Primary practice address
1000 Galloping Hill Rd Ste 108
Union NJ 07083-7989
Phone: (908) 522-3730
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 25MA11977700 | New Jersey |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA11977700 | New Jersey |
Profile Details
NPI number | 1396327136 |
---|---|
LBN Legal business name | White, Tyra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2021 |
Last updated | Jul 5th, 2024 - about last year |
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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