Luethy, Nancy

Luethy, Nancy is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Luethy, Nancy can be contacted via phone (903) 606-5400.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004191 Michigan

Profile Details

NPI number 1336118629
LBN Legal business name Luethy, Nancy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Sep 3rd, 2019 - about 5 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 1336118629 NPPES
Texas Other 8LD264 BCBS
Texas MEDICAID 399520101 BCBS

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