White, Tyrus Michael

White, Tyrus Michael is an sole proprietor health care provider with primary practice located at 1 Trillium Way Baptist Health Cancer Center, Corbin KY 40701-8727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. White, Tyrus Michael can be contacted via phone (606) 523-1934.

Contact Information

Primary practice address
1 Trillium Way Baptist Health Cancer Center Corbin KY 40701-8727
Phone: (606) 523-1934
Fax: (606) 523-1982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 42601 Kentucky

Profile Details

NPI number 1124281167
LBN Legal business name White, Tyrus Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2008
Last updated Dec 16th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124281167 NPPES
Kentucky MEDICAID 7100160280
Kentucky Other P01428671

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