Carter, Tyrone

Carter, Tyrone is an sole proprietor health care provider with primary practice located at 1840 N Farewell Ave #300 , Milwaukee WI 53202. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Carter, Tyrone can be contacted via phone (414) 276-8381.

Contact Information

Primary practice address
1840 N Farewell Ave #300 Milwaukee WI 53202
Fax: (414) 276-8386
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 286057 Wisconsin

Profile Details

NPI number 1689849994
LBN Legal business name Carter, Tyrone
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 17 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 1689849994 NPPES
Wisconsin MEDICAID 39051400

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