Carlisle, Annette
Carlisle, Annette is an individual health care provider with primary practice located at 51 N Dunlap St , Memphis TN 38105-4625. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Carlisle, Annette can be contacted via phone (901) 287-7337.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-10471 | Arkansas |
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 61070 | Tennessee |
Profile Details
NPI number | 1376962902 |
---|---|
LBN Legal business name | Carlisle, Annette |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2014 |
Last updated | Sep 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376962902 | NPPES |
Mississippi | MEDICAID | 08808809 | |
Mississippi | MEDICAID | 220713001 | |
Mississippi | MEDICAID | Q043210 |
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