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:
Health care specialties
Specialty | Code | License # | 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 5 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 | 1124281167 | NPPES |
Kentucky | MEDICAID | 7100160280 | |
Kentucky | Other | P01428671 |
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