Carpenter, Ryan

Carpenter, Ryan is an individual health care provider with primary practice located at 1108 Lavaca St Ste 110-320 , Austin TX 78701-2172. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Carpenter, Ryan can be contacted via phone (512) 477-4088.

Contact Information

Primary practice address
1108 Lavaca St Ste 110-320 Austin TX 78701-2172
Phone: (512) 477-4088
Fax: (512) 482-0390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X AP125878 Texas

Profile Details

NPI number 1255740098
LBN Legal business name Carpenter, Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2014
Last updated Dec 23rd, 2016 - about 9 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 1255740098 NPPES
Texas MEDICAID 343379602

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