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Contact Information

MARK TYSON, PARAMEDIC
1007 E HOSMER ST
LOVES PARK, IL61111-4164
 Phone: 815-505-3246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MARK TYSON · (Male)

NPI Number 1720449713
Status Active
Credentials PARAMEDIC
Entity Individual
Enumeration date 03/17/2016
Last updated 05/19/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 060204401
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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