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Contact Information

JONATHAN TYRE
802 MAIN ST
LISBON, ND58054-4204
 Phone: 701-683-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JONATHAN TYRE · (Male)

NPI # 1821861287
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2023
Last updated 11/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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