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

Primary practice address
51 N Dunlap St Memphis TN 38105-4625
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376962902 NPPES
Mississippi MEDICAID 08808809
Mississippi MEDICAID 220713001
Mississippi MEDICAID Q043210

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