Carlyle, Thomas Edward

Carlyle, Thomas Edward is an sole proprietor health care provider with primary practice located at 611 Court St Suite 4, Conway AR 72032-5446. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carlyle, Thomas Edward can be contacted via phone (501) 358-4894.

Contact Information

Primary practice address
611 Court St Suite 4 Conway AR 72032-5446
Phone: (501) 358-4894
Fax: (501) 358-4891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1569 Arkansas

Profile Details

NPI number 1093789042
LBN Legal business name Carlyle, Thomas Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2008 - about 18 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 1093789042 NPPES
Wyoming Other 21462 MEDICARE PTAN
Wyoming MEDICAID 142756718 MEDICARE PTAN

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