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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1093789042 | NPPES |
| Wyoming | Other | 21462 | MEDICARE PTAN |
| Wyoming | MEDICAID | 142756718 | MEDICARE PTAN |
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